Organization
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Active
Parent organization
COREWELL HEALTH
Other names
Corewell Health Watervliet Hospitals
Organization subpart
Yes
Provider details
NPI number
Legal business name
COREWELL HEALTH
Authorized official
RYAN J CATIGNANI (VP FINANCE)
(947) 522-0536
Entity
Organization
Contact information
Practice address
400 MEDICAL PARK DRIVE, WATERVLIET, MI 49098
(269) 463-3111
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(269) 463-5351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301043583
MI
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
11/27/2007
Last updated
01/16/2024
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