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NPI Code Detail

MEDICARE: MARK W ARMSTRONG DO

MEDICARE: MARK W ARMSTRONG DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5101008843MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932104882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK W ARMSTRONG DO
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC 845
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2111 12 MILE RD NW
Second Line :
City : SPARTA
State : MI
Zip : 49345-9754
Country : US
Telephone Number : 616-391-8470
Fax Number : 616-391-8495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 02/24/2021

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Directions to “ MARK W ARMSTRONG DO” Practice Location

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