| Corewell Health Medical Group West | |
|
4100 Lake Dr Se Grand Rapids MI 49546-8292 | |
| (616) 267-7100 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Lake Dr 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 4100 Lake Dr Se Grand Rapids MI 49546-8292 Ph: (616) 267-7100 |
| NPI Number | 1053620237 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053620237 | NPI | - | NPPES |
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