# MICHIGAN PAIN CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467418574
- **Authorized official:** DR. MARK LOUIS GOSTINE MD (PRESIDENT)
- **Authorized official phone:** (616) 285-1377

## Contact information

- **Practice address:** 2060 EAST PARIS AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
- **Practice address phone:** (616) 285-1377
- **Practice address fax:** (616) 285-1006
- **Mailing address:** 5555 GLENWOOD HILLS PKWY SE STE 2, GRAND RAPIDS, MI 49512-2091
- **Mailing address phone:** (616) 940-2662
- **Mailing address fax:** (616) 940-1965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 03/30/2021