| NPI | 1982904587 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | LIS MCKINCH SVP Finance 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2023-10-31 |