| NPI | 1417681453 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ELISABETH LACEY Credentialing Manager 616-486-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-10-30 |