Individual
DR. PETER MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E PARIS AVE SE, STE 160, GRAND RAPIDS, MI 49546-8313
(616) 391-3315
(616) 391-3320
Mailing address
1000 E PARIS AVE SE, STE 160, GRAND RAPIDS, MI 49546-8313
(616) 391-3315
(616) 391-3320
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301028718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4199571
—
MI
Enumeration date
06/09/2005
Last updated
07/08/2007
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