| NPI | 1942510078 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-10-30 |