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Contact Information

ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
2373 64TH ST SW STE 2700
BYRON CENTER, MI49315-7978
 Phone: 616-465-5910
 Fax: 616-465-5911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANTAGE HEALTH SAINT MARYS MEDICAL GROUP · (Female)

NPI # 1003515008
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2023
Last updated 10/10/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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