institution
Advanced Medical Group
General Practice Physician in Hudsonville, Michigan
NPI 1932741907

Advanced Medical Group is a General Practice Physician based in Hudsonville, MI. Advanced Medical Group practices in Hudsonville, MI. The NPI Number for Advanced Medical Group is 1932741907 and holds a License No. (Michigan).

The current practice location address for Advanced Medical Group is 3360 Prospect St, Hudsonville, MI and can be reached out via phone at 616-669-6702 and via fax at 616-797-4025.

Location: 3360 Prospect St, Hudsonville, MI, 49426-1420
institution
Provider Profile Details
NPI Number
1932741907
Provider Name
Advanced Medical Group
Credential
Provider Entity Type
Organization
Address
3360 Prospect St, Hudsonville, MI, 49426-1420
Phone Number
616-669-6702
Fax Number
616-797-4025
Provider Enumeration Date
10/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5315213606 01 MI CONTROLLED SUBSTANCE
5101019505 01 MI OSTEOPATHIC MEDICAL LICENSE
1902155690 01 NPI TYPE 1
14554401 01 CAQH#
institution
Provider Business Practice Location Address Details
Address
3360 Prospect St
City
State
Zip
49426-1420
Phone Number
616-669-6702
Fax Number
616-797-4025
person
Provider Business Mailing Address Details
Address
3360 Prospect St
City
State
Zip
49426-1420
Phone Number
616-669-6702
Fax Number
616-797-4025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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