Organization
METRO HEALTH BASIC CARE
Active
Other names
Metro Advantage Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FAAS (CEO)
(616) 252-7200
Entity
Organization
Contact information
Practice address
5500 CLYDE PARK AVE SW, WYOMING, MI 49509-9525
(616) 531-7769
(616) 531-7845
Mailing address
1925 BRETON RD SE, SUITE 201, GRAND RAPIDS, MI 49506-4810
(616) 252-4765
(616) 252-0127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/12/2006
Last updated
11/13/2007
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