Individual
MARK SPOOLSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LAFAYETTE AVE SE, SUITE 4200, GRAND RAPIDS, MI 49503-4650
(616) 685-6919
(616) 685-3063
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415869
—
MI
05
—
3483125
—
MI
05
—
4194243
—
MI
05
—
4203852
—
MI
05
—
4878990
—
MI
05
—
4879002
—
MI
Enumeration date
05/25/2006
Last updated
12/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us