Justin Charles Clark MD

  • NPI 1598945644
According to our database, the NPI number for Justin Charles Clark MD is 1598945644 and activated since 16 years ago. Justin Charles Clark MD is an individual provider who specializes in Neurological Surgery, and the primary practice location is 414 Plymouth Ne, Grand Rapids, MI 49505. You can also contact Justin Charles Clark MD via telephone number is (616) 454-3465. Provider NPI information was last updated on 06/26/2015.

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Overview of Justin Charles Clark MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/06/2007
  • Last updated: 06/26/2015

Primary Scrop of Practice

  • Taxonomy Code: 207T00000X
  • Specialty: Neurological Surgery
  • License Number: 4301104141
  • License State: MI

Provider Mailing Address

  • Address: 414 Plymouth Ne
    Grand Rapids, MI 49505
  • Phone: 616-454-3465
  • Fax: 616-242-7060

Provider Practice Location

  • Address: 414 Plymouth Ne
    Grand Rapids, MI 49505
  • Phone: 616-454-3465
  • Fax: 616-242-7060

Scope of Practice

  • Taxonomy Code: 207T00000X
  • Specialty: Neurological Surgery
  • License Number: 4301104141
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 4301104141
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: STATE OF MICHIGAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Justin Charles Clark MD?
  • A: The npi number for Justin Charles Clark MD is 1598945644.
  • Q: What are Justin Charles Clark MD's specialties?
  • A: Justin Charles Clark MD's specialties are Neurological Surgery and different specialities.
  • Q: What is the medical license for Justin Charles Clark MD?
  • A: The medical license number for Justin Charles Clark MD is 4301104141 and issued in MI in USA.
  • Q: Where is Justin Charles Clark MD practice location?
  • A: Justin Charles Clark MD is practicing at 414 Plymouth Ne, Grand Rapids, MI 49505.
  • Q: How to contact Justin Charles Clark MD?
  • A: You can contact Justin Charles Clark MD via 616-454-3465.