Organization
ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLAIR MD (CMO)
(616) 685-1802
Entity
Organization
Contact information
Practice address
260 JEFFERSON AVE SE STE 115, GRAND RAPIDS, MI 49503-4597
(616) 685-3100
(616) 685-3111
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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