| NPI | 1992047195 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI SVP, Finance 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207P00000X Emergency Medicine | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-10-31 |