IndividualActive
Mark Gostine, MD
NPI 1619938545 · Interventional Pain Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1619938545
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301041353 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2060 E Paris Ave Se
Suite 200
Grand Rapids, MI 49546-6113
Phone: (616) 285-1377
Fax: (616) 285-1006
Approximate (ZIP-level) locationGet directions
Mailing address
5555 Glenwood Hills Pkwy Se Ste 2
Grand Rapids, MI 49512-2091
Registry dates
- Enumerated
- 2006-03-30
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.