Individual
DR. MARK GREGORY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6313
TX
207RG0100X
Gastroenterology Physician
Primary
Q6313
TX
Other
Enumeration date
04/17/2013
Last updated
01/26/2024
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