| NPI | 1548049190 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP SOUTH |
| Entity Type | Organization |
| Authorized Contact | HEATHER LALLO VP Finance 269-720-5382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |