Male or Other

Dr. Mark G. Cooper M.D.

Gastroenterology Physician in Grand Rapids, MI(View on Map)

Full Name

Dr. Mark Gregory Cooper M.D.

NPI Number

1164866430

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/17/2013

Specialties

(Taxonomies)

Code

207RG0100X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Texas

License Number

Q6313

Contact
Information

Purpose

Mailing
Location

Address

310 LAFAYETTE AVE SE STE 400
310 LAFAYETTE AVE SE STE 400

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49503-4693
49503-4693

Country

US
US

Telephone Number

(616) 752-6525
(616) 752-6525

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/26/2024

Provider Address

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