institution
Advantage Health Clinic, For Men, Inc
Adult Medicine Physician in Marshall, Michigan
NPI 1316145972

Advantage Health Clinic, For Men, Inc is an Adult Medicine Physician based in Marshall, MI and is specialized in Adult Medicine. Advantage Health Clinic, For Men, Inc practices in Marshall, MI. The NPI Number for Advantage Health Clinic, For Men, Inc is 1316145972 and holds a License No. 4301033625 (Michigan).

The current practice location address for Advantage Health Clinic, For Men, Inc is 18625 Centennial Rd, Marshall, MI and can be reached out via phone at 269-789-1900 and via fax at 269-789-1974.

Location: 18625 Centennial Rd, Marshall, MI, 49068-9372
institution
Provider Profile Details
NPI Number
1316145972
Provider Name
Advantage Health Clinic, For Men, Inc
Credential
Provider Entity Type
Organization
Address
18625 Centennial Rd, Marshall, MI, 49068-9372
Phone Number
269-789-1900
Fax Number
269-789-1974
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1952416877 01 MI INDIVIDUAL NPI
4301055180 01 MI STE LICENSE NUMBER
F05571 01 MI UPIN
1043379530 01 MI NPI INDIVIDUAL
3522410 05 MI
1316145972 01 MI GROUP NPI
1952416877 01 MI NPI
G05602 01 MI UPIN
1101312522 01 MI WULFBCINDPIN
CR033625 01 MI MICHIGAN LICENSE NUMBER
4301055180 01 MI LICENSE NUMBER
700A310290 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
18625 Centennial Rd
City
State
Zip
49068-9372
Phone Number
269-789-1900
Fax Number
269-789-1974
person
Provider Business Mailing Address Details
Address
18625 Centennial Rd
City
State
Zip
49068-9372
Phone Number
269-789-1900
Fax Number
269-789-1974
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
4301033625 (Michigan)
Definition
Definition to come.
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