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Mackenzie Sproull, MD
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1477129237

Mackenzie Sproull is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Mackenzie Sproull practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Mackenzie Sproull is 1477129237 and holds a License No. 4351050715 (Michigan).

The current practice location address for Mackenzie Sproull is 200 Jefferson Ave Se Ste 305, Grand Rapids, MI and can be reached out via phone at 616-685-5000.

Location: 200 Jefferson Ave Se Ste 305, Grand Rapids, MI, 49503-4502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477129237
Provider Name
Mackenzie Sproull
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Jefferson Ave Se Ste 305, Grand Rapids, MI, 49503-4502
Phone Number
616-685-5000
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Jefferson Ave Se Ste 305
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-685-5000
Fax Number
person
Provider Business Mailing Address Details
Address
200 Jefferson Ave Se Ste 305
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-685-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4351050715 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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