Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Sproull, MD

Individual provider Family Medicine Physician · NPI 1477129237

Mackenzie Sproull, MD is a Family Medicine Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Jefferson Ave SE Ste 305
Grand Rapids, MI 49503-4502
Phone: (616) 685-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351050715 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477129237
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023
Mailing address200 Jefferson Ave Se Ste 305, Grand Rapids, MI 49503-4502

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