Mark, Paul

Mark, Paul is an individual health care provider with primary practice located at 25 Michigan St Ne Suite 2000, Grand Rapids MI 49503-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Mark, Paul can be contacted via phone (616) 391-2192.

Contact Information

Primary practice address
25 Michigan St Ne Suite 2000 Grand Rapids MI 49503-2515
Phone: (616) 391-2192
Fax: (616) 391-3114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01040767A Indiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 4301057958 Michigan

Profile Details

NPI number 1831137629
LBN Legal business name Mark, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Feb 26th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831137629 NPPES
Michigan MEDICAID 1831137629
Michigan MEDICAID 200056530A

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