Organization
AGE MANAGEMENT AND HORMONE BALANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIYUSH BHATNAGAR M.D. (INTERNIST-MANAGING DIRECTOR)
(616) 808-2695
Entity
Organization
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 202, GRAND RAPIDS, MI 49525-7042
(616) 808-2695
(616) 808-2697
Mailing address
1787 GRAND RIDGE CT NE, SUITE 202, GRAND RAPIDS, MI 49525-7042
(616) 808-2695
(616) 808-2697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076867
MI
Other
Enumeration date
11/20/2009
Last updated
09/17/2012
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