Organization
ADVANCED AGE MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH BHATNAGAR MD (OWNER)
(616) 634-6240
Entity
Organization
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 202, GRAND RAPIDS, MI 49525-7042
(616) 808-2695
Mailing address
1675 FLOWERS CROSSING DR NE, GRAND RAPIDS, MI 49525-9521
(616) 634-6240
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
04/11/2011
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