Cooper, Mark Gregory

Cooper, Mark Gregory is an individual health care provider with primary practice located at 310 Lafayette Ave Se Ste 400 , Grand Rapids MI 49503-4693. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Cooper, Mark Gregory can be contacted via phone (616) 752-6525.

Contact Information

Primary practice address
310 Lafayette Ave Se Ste 400 Grand Rapids MI 49503-4693
Phone: (616) 752-6525
Fax: (616) 752-6556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Q6313 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q6313 Texas

Profile Details

NPI number 1164866430
LBN Legal business name Cooper, Mark Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2013
Last updated Jan 26th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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