Organization · Type 2 NPI

Advantage Health/saint Mary's Medical Group

Multi-Specialty Clinic/Center · Grand Rapids, MI

NPI number 1457863565 Active

Practice location

260 Jefferson Ave SE Ste 115
Grand Rapids, MI 49503-4597

Fax (616) 685-3111

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1457863565

Advantage Health/saint Mary's Medical Group's National Provider Identifier is 1457863565, issued on Oct 30, 2017. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 30, 2017.