Organization
AGE MANAGEMENT OF WEST MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH BHATNAGAR MD (CLINICAL MEDICAL DIRECTOR/OWNER)
(616) 808-2695
Entity
Organization
Contact information
Practice address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2695
Mailing address
1959 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6272
(616) 808-2695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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