| Corewell Health Medical Group West | |
|
4482 Port Sheldon Hudsonville MI 49426 | |
| (616) 662-8191 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 4482 Port Sheldon, Hudsonville, Michigan |
| Authorized Official Name and Position | Pauline Krywanski (CFO) |
| Authorized Official Contact | 6162848805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corewell Health Medical Group West 100 Michigan Street Ne Mc845 Grand Rapids MI 49503 Ph: () - | Corewell Health Medical Group West 4482 Port Sheldon Hudsonville MI 49426 Ph: (616) 662-8191 |
| NPI Number | 1578873048 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578873048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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