Individual
MARK CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-5092
(616) 336-8800
(616) 331-9831
Mailing address
1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-5092
(616) 336-8800
(616) 331-9831
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704283879
MI
Other
Enumeration date
07/02/2018
Last updated
09/23/2021
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