# ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083014914
- **Authorized official:** DAVID E BLAIR MD (CMO)
- **Authorized official phone:** (616) 685-1800

## Contact information

- **Practice address:** 6050 NORTHLAND DR NE, ROCKFORD, MI 49341-9244
- **Practice address phone:** (616) 685-8350
- **Mailing address:** 1900 44TH ST SE, KENTWOOD, MI 49508-5008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 08/28/2014