| NPI | 1871293522 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Fincance 947-522-0008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-10-31 |