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Organization
ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
Active
Organization
ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FOSTER MD (CMO)
(616) 685-1802
Entity
Organization
Contact information
Practice address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Mailing address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
02/23/2024
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