NPI | 1578860912 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | POLLY KRYWANSKI SVP, Finance 616-486-2253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2011-02-22 |
Last Update Date | 2023-10-31 |