Organization
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Active
Parent organization
COREWELL HEALTH
Other names
Corewell Health Watervliet Hospital Gen Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
COREWELL HEALTH
Authorized official
RYAN CATIGNANI (VP CONTRACTING)
(947) 522-0008
Entity
Organization
Contact information
Practice address
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 463-3600
Mailing address
100 MICHIGAN NE ST MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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