| NPI | 1427604396 |
|---|---|
| Other Name | HEALTHWEST OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDY KATHLEEN CARLSON CFO 231-724-1174 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |