OrganizationActive
Advantage Health Saint Mary'S Medical Group
NPI 1003515008 · Orthopaedic Surgery Physician · Byron Center, MI
Provider details
- NPI number
- 1003515008
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Green, Vp Finance(616) 685-6709
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2373 64th St Sw Ste 2700
Byron Center, MI 49315-7978
Phone: (616) 465-5910
Fax: (616) 465-5911
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776974
Chicago, IL 60677-6974
Other names (DBA / former)
- Doing business as
- Trinity Health Medical Group Orthopedics Grand Rapids
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.