| Age Management & Hormone Balance Center | |
|
1787 Grand Ridge Ct Ne Ste 202 Grand Rapids MI 49525-7042 | |
| (616) 808-2695 | |
| (616) 808-2697 |
| Full Name | Age Management & Hormone Balance Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1787 Grand Ridge Ct Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Shahnaz Ali (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6168082695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Age Management & Hormone Balance Center Po Box 289 Jenison MI 49429-0289 Ph: (616) 457-9000 | Age Management & Hormone Balance Center 1787 Grand Ridge Ct Ne Ste 202 Grand Rapids MI 49525-7042 Ph: (616) 808-2695 |
| NPI Number | 1598088171 |
|---|---|
| Provider Enumeration Date | 03/10/2010 |
| Last Update Date | 03/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598088171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301076867 (Michigan) | Primary |
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