| Corewell Health Medical Group West | |
|
1722 Shaffer St Suite 3 Kalamazoo MI 49048-1633 | |
| (616) 391-3933 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 1722 Shaffer St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Pauline Krywanski (SVP) |
| 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 Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Medical Group West 1722 Shaffer St Suite 3 Kalamazoo MI 49048-1633 Ph: (616) 391-3933 |
| NPI Number | 1720355910 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720355910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | (* (Not Available)) | Primary |
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