Corewell Health Medical Group West | |
1840 Wealthy St Se Blodgett Hospital Grand Rapids MI 49506-2921 | |
(616) 391-1759 | |
Not Available |
Full Name | Corewell Health Medical Group West |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1840 Wealthy St Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Pauline Krywanski (CFO) |
Authorized Official Contact | 6164862253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corewell Health Medical Group West 100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Medical Group West 1840 Wealthy St Se Blodgett Hospital Grand Rapids MI 49506-2921 Ph: (616) 391-1759 |
NPI Number | 1871805804 |
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Provider Enumeration Date | 07/07/2010 |
Last Update Date | 10/30/2023 |
Certification Date | 10/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871805804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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