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1912953662
MARK SPOOLSTRA
GRAND RAPIDS, MI
NPI
1912953662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301050964)
Enumeration Date
2006-05-25
Last Update Date
2021-12-17
Business Address
MARK SPOOLSTRA MD
300 LAFAYETTE AVE SE SUITE 4200
GRAND RAPIDS, MI 49503-4650
Phone number: 616-685-6919
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Mailing Address
MARK SPOOLSTRA MD
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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