Organization
ADVANTAGE HEALTH CONVENIENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E BLAIR (PRESIDENT AND CMO)
(616) 913-1800
Entity
Organization
Contact information
Practice address
6370 LAKE MICHIGAN DR, STE 100, ALLENDALE, MI 49401-9226
(616) 895-2273
Mailing address
245 STATE ST SE, STE 326, GRAND RAPIDS, MI 49503-4328
(616) 913-1800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
05/19/2008
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