| NPI | 1992016505 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-10-27 |