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Longevity Center Llc
Family Medicine Physician in Grand Rapids, Michigan
NPI 1144499195

Longevity Center Llc is a Family Medicine Physician based in Grand Rapids, MI. Longevity Center Llc practices in Grand Rapids, MI. The NPI Number for Longevity Center Llc is 1144499195 and holds a License No. 5101007920 (Michigan).

The current practice location address for Longevity Center Llc is 2251 E Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-956-6090 and via fax at 616-956-6099.

Location: 2251 E Paris Ave Se, Grand Rapids, MI, 49546-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144499195
Provider Name
Longevity Center Llc
Credential
Provider Entity Type
Organization
Address
2251 E Paris Ave Se, Grand Rapids, MI, 49546-2431
Phone Number
616-956-6090
Fax Number
616-956-6099
Provider Enumeration Date
02/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1719945 05 MI
institution
Provider Business Practice Location Address Details
Address
2251 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-2431
Phone Number
616-956-6090
Fax Number
616-956-6099
person
Provider Business Mailing Address Details
Address
2251 E Paris Ave Se
City
Grand Rapids
State
Michigan
Zip
49546-2431
Phone Number
616-956-6090
Fax Number
616-956-6099
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101007920 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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