# ADVANTAGE HEALTH CLINIC, FOR MEN, INC

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

## Provider details

- **NPI number:** 1316145972
- **Authorized official:** MRS. LISA A IGNATOSKI (MANAGER)
- **Authorized official phone:** (269) 789-1900

## Contact information

- **Practice address:** 18625 CENTENNIAL RD, SUITE D, MARSHALL, MI 49068-9372
- **Practice address phone:** (269) 789-1900
- **Practice address fax:** (269) 789-1974
- **Mailing address:** 18625 CENTENNIAL RD, SUITE D, MARSHALL, MI 49068-9372
- **Mailing address phone:** (269) 789-1900
- **Mailing address fax:** (269) 789-1974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 4301033625 | MI | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 05/29/2009