person
Mark Louis Gostine, MD
Interventional Pain Medicine Physician in Grand Rapids, Michigan
NPI 1619938545

Mark Louis Gostine is a Interventional Pain Medicine Physician based in Grand Rapids, MI and is specialized in Interventional Pain Medicine. Mark Louis Gostine practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Mark Louis Gostine is 1619938545 and holds a License No. 4301041353 (Michigan).

The current practice location address for Mark Louis Gostine is 2060 E Paris Ave Se, Grand Rapids, MI and can be reached out via phone at 616-285-1377 and via fax at 616-285-1006.

Location: 2060 E Paris Ave Se, Grand Rapids, MI, 49512-2091
person
Provider Profile Details
NPI Number
1619938545
Provider Name
Mark Louis Gostine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2060 E Paris Ave Se, Grand Rapids, MI, 49512-2091
Phone Number
616-285-1377
Fax Number
616-285-1006
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7000027071 01 PRIORITY HEALTH
1070467 01 FIRST HEALTH
550410415 01 MI BLUE CROSS BLUE SHIELD
1492766 01 CIGNA
40982 01 AETNA
4552951-10 05 MI
7000027071 01 PRIORITY HEALTH MEDICAID
4654209-10 05 MI
institution
Provider Business Practice Location Address Details
Address
2060 E Paris Ave Se
City
State
Zip
49546-6113
Phone Number
616-285-1377
Fax Number
616-285-1006
person
Provider Business Mailing Address Details
Address
2060 E Paris Ave Se
City
State
Zip
49546-6113
Phone Number
616-285-1377
Fax Number
616-285-1006
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
4301041353 (Michigan)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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