NPI 1003515008
Advantage Health Saint Mary's Medical Group
Practice location
- Address
- 2373 64th St SW STE 2700, Byron Center, MI 49315-7978
- Phone
- (616) 465-5910
- Fax
- (616) 465-5911
- Mailing address
- PO Box 776974, Chicago, IL 60677-6974
Authorised official
- Name
- Daniel Green
- Title
- Vp Finance
- Phone
- (616) 685-6709
Registered specialties (3)
Orthopaedic Surgery Physician
Primary
Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1003515008
- Entity type
- Organization
- NPI issued
- 28 Feb 2023
- Record last updated
- 10 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.