Organization · NPI-2

Advanced Internal Medicine PLLC

Internal Medicine · Lansing, MI

NPI number1073118550
StatusActive
Last updated in NPPESMar 1, 2024

Details

NPI
1073118550
Entity type
Organization (NPI-2)
Legal business name
Advanced Internal Medicine PLLC
Organization subpart
No
Enumeration date
Dec 2, 2020
Certification date
Mar 1, 2024
Last updated
Mar 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

2720 Pleasant Grove Rd
Lansing, MI 48910-2410

Phone 517-575-9614 · Fax 877-370-2381

Mailing address

2720 Pleasant Grove Rd
Lansing, MI 48910-2410

Phone 517-575-9614 · Fax 877-370-2381

Authorized official

Christopher J Alvarado
Practice Owner
5175759614

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Lansing, MI