| NPI | 1376905554 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI SVP Finance 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-10-27 |