NPI | 1487965067 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | PAULINE KRYWANSKI SVP 616-486-2253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2010-06-29 |
Last Update Date | 2023-10-31 |