| Corewell Health Medical Group West | |
|
4600 Breton Rd Se Suite 102 Kentwood MI 49508-5262 | |
| (616) 391-9700 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Family Medicine |
| Location | 4600 Breton Rd Se, Kentwood, 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 Mc 845 Grand Rapids MI 49503-2560 Ph: () - | Corewell Health Medical Group West 4600 Breton Rd Se Suite 102 Kentwood MI 49508-5262 Ph: (616) 391-9700 |
| NPI Number | 1053623074 |
|---|---|
| Provider Enumeration Date | 07/07/2010 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053623074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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