| Corewell Health Medical Group West | |
|
3390 100th Ave Zeeland MI 49464-9604 | |
| (616) 486-6790 | |
| Not Available |
| Full Name | Corewell Health Medical Group West |
|---|---|
| Speciality | Social Worker - School |
| Location | 3390 100th Ave, Zeeland, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 9475220008 |
| 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 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Corewell Health Medical Group West 3390 100th Ave Zeeland MI 49464-9604 Ph: (616) 486-6790 |
| NPI Number | 1699558601 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699558601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
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