NPI | 1861701047 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
Enumeration Date | 2010-10-05 |
Last Update Date | 2023-10-30 |