Organization · NPI-2

Advantage Health Physicians PC

Family Medicine · Grand Rapids, MI

NPI number1386695252

StatusActive

Last updated in NPPESApr 10, 2008

Details

NPI: 1386695252
Entity type: Organization (NPI-2)
Legal business name: Advantage Health Physicians PC
Organization subpart: No
Enumeration date: May 15, 2006
Last updated: Apr 10, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
207V00000X	Obstetrics & Gynecology	–	–
208000000X	Pediatrics	–	–
207QG0300X	Family Medicine, Geriatric Medicine	–	–
207RG0300X	Internal Medicine, Geriatric Medicine	–	–

Practice location

245 State St Se
Ste 1a
Grand Rapids, MI 49503-4328

Phone 616-913-1800 · Fax 616-913-1818

Mailing address

245 State St Se
Grand Rapids, MI 49503-4328

Phone 616-913-1800 · Fax 616-913-1818

Authorized official

David E Blair
President
6169131800

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.