| NPI | 1376077453 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | LEISA KIMBROUGH Sr Director Of Revenue Cycle 616-486-6790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-10-31 |