| NPI | 1396024683 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | BRADLEY L SHER Director Of Payer Relations/Reimbur 616-486-6705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2080P0216X Pediatrics, Pediatric Rheumatology | |
| 2080S0012X Pediatrics, Sleep Medicine | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-10-31 |