NPI | 1497706840 |
---|---|
Former Legal Business Name | METRO ADVANTAGE INC. |
Entity Type | Organization |
Authorized Contact | MICHAEL FAAS CEO 616-252-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-05-12 |
Last Update Date | 2007-11-13 |