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Organization

ADVANTAGE HEALTH PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID E BLAIR MD (PRESIDENT)
(616) 913-1800
Entity
Organization

Contact information

Practice address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503-4328
(616) 913-1800
(616) 913-1818
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-1800
(616) 913-1818

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician

Other

Enumeration date
05/15/2006
Last updated
04/10/2008
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