| NPI | 1598088171 |
|---|---|
| Doing Business As | AGE MANAGEMENT & HORMONE BALANCE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHAHNAZ ALI Owner/Physician 616-808-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301076867) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |