Individual
DR. MARK W BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7751 BYRON CENTER AVE SW, SUITE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
(616) 267-7941
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301067122
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301067122
MI
Other
Enumeration date
10/20/2006
Last updated
03/10/2021
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