OrganizationActive
Advanced Age Management PLLC
NPI 1689978041 · Primary Care Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1689978041
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Piyush Bhatnagar, Owner(616) 634-6240
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1787 Grand Ridge Ct Ne
Suite 202
Grand Rapids, MI 49525-7042
Phone: (616) 808-2695
Approximate (ZIP-level) locationGet directions
Mailing address
1675 Flowers Crossing Dr Ne
Grand Rapids, MI 49525-9521
Registry dates
- Enumerated
- 2010-12-28
- Last updated
- 2011-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.