AGE MANAGEMENT AND HORMONE BALANCE CENTER
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1730417288- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1787 GRAND RIDGE CT NE SUITE 202, GRAND RAPIDS, MI, 495257042
- Phone
- (616) 808-2695
- Fax
- (616) 808-2697
Specialties & Taxonomies
Internal Medicine
Primary License: MI #4301076867