Individual
MACKENZIE SPROULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE STE 305, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
200 JEFFERSON AVE SE STE 305, GRAND RAPIDS, MI 49503-4502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351050715
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2021
Last updated
05/07/2023
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