| NPI | 1780993956 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2023-10-31 |