Individual
MARK HENRY KOETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 267-8244
(616) 391-3044
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301054578
MI
207RP1001X
Pulmonary Disease Physician
4301054578
MI
Other
Enumeration date
06/07/2006
Last updated
06/10/2024
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