NPI 1003515008 · live from the CMS NPI Registry
Advantage Health Saint Mary'S Medical Group
Orthopaedic Surgery in Byron Center, MI. National Provider Identifier 1003515008, active.
NPI record
| NPI | 1003515008 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2373 64th St Sw Ste 2700, Byron Center, MI 49315 |
| Practice phone | 616-465-5910 |
| Mailing address | Po Box 776974, Chicago, IL 60677 |
| Enumerated | February 28, 2023 |
| Last updated | October 10, 2024 |
| Authorized official | Daniel Green, Vp Finance |
| Other names | Trinity Health Medical Group Orthopedics Grand Rapids |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.