Individual
DR. MARK DAVID BROMBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE # MC49, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
(616) 391-3674
Mailing address
100 MICHIGAN ST NE # MC49, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
(616) 391-3674
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1437737095
MI
207P00000X
Emergency Medicine Physician
Primary
4351047952
MI
Other
Enumeration date
04/01/2021
Last updated
09/10/2025
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