Advanced Medical Group

NPI #1932741907 in Hudsonville, Michigan

Provider Information

NPI Number: 1932741907
Entity Type: Organization
Organization Name: Advanced Medical Group
Primary Specialty: General Practice
Enumeration Date: Oct 11, 2019
Last Updated: Feb 3, 2020

Practice Location

Address: 3360 PROSPECT ST
City: Hudsonville
State: Michigan
ZIP Code: 49426-1420
Phone: (616) 669-6702

Authorized Official

Name: DR. BENJAMIN EOVALDI, DO
Title: PROVIDER
Phone: (616) 669-6702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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