# AGE MANAGEMENT AND HORMONE BALANCE CENTER

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

## Provider details

- **NPI number:** 1730417288
- **Authorized official:** PIYUSH BHATNAGAR M.D. (INTERNIST-MANAGING DIRECTOR)
- **Authorized official phone:** (616) 808-2695

## Contact information

- **Practice address:** 1787 GRAND RIDGE CT NE, SUITE 202, GRAND RAPIDS, MI 49525-7042
- **Practice address phone:** (616) 808-2695
- **Practice address fax:** (616) 808-2697
- **Mailing address:** 1787 GRAND RIDGE CT NE, SUITE 202, GRAND RAPIDS, MI 49525-7042
- **Mailing address phone:** (616) 808-2695
- **Mailing address fax:** (616) 808-2697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301076867 | MI | Yes |

## Other

- **Enumeration date:** 11/20/2009
- **Last updated:** 09/17/2012