Stid, Mark Andrew
Stid, Mark Andrew is an individual health care provider with primary practice located at 904 S Washington Ave Suite 210, Holland MI 49423-7724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stid, Mark Andrew can be contacted via phone (616) 392-8035.Contact Information
Primary practice address
904 S Washington Ave Suite 210
Holland MI 49423-7724
Phone: (616) 392-8035
Fax: (616) 392-7404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MS055336 | Michigan |
Profile Details
NPI number | 1740243369 |
---|---|
LBN Legal business name | Stid, Mark Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
Last updated | Jul 29th, 2015 - about 9 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740243369 | NPPES |
Michigan | MEDICAID | 3164034 10 |
Popular Providers
-
Peter, Beth
382 N 120Th Ave , Holland MI 49424-2169 -
Devisser, David Lee
3235 N Wellness Dr , Holland MI 49424-7264 -
Bosscher, David Bruce
336 S River Ave , Holland MI 49423-3326 -
Miedema, Jill
382 120Th Ave , Holland MI 49424-2169 -
Vance, Peter Jeffrey
607 W 29Th St , Holland MI 49423-7204 -
Kreuzer, Dan F
383 Garden Ave , Holland MI 49424-9602 -
Wood, Dirk Greg
494 West 17Th Street , Holland MI 49423 -
Birkholz, Laurie A B
11971 James St , Holland MI 49424-9610