| NPI | 1528699006 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | ELISABETH LACEY Manager 616-486-6630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-10-31 |