Organization
ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP
Active
Other names
Trinity Health Medical Group Orthopedics Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GREEN (VP FINANCE)
(616) 685-6709
Entity
Organization
Contact information
Practice address
2373 64TH ST SW STE 2700, BYRON CENTER, MI 49315-7978
(616) 465-5910
(616) 465-5911
Mailing address
PO BOX 776974, CHICAGO, IL 60677-6974
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/28/2023
Last updated
10/10/2024
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