| Corewell Health Medical Group West | |
|
517 E Division St Rockford MI 49341-1376 | |
| (616) 974-4884 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Pediatrics |
| Location | 517 E Division St, Rockford, 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 517 E Division St Rockford MI 49341-1376 Ph: (616) 974-4884 |
| NPI Number | 1780993956 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780993956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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