Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL NORTON CLARK, MD
ActiveDR. RANDALL NORTON CLARK, MD is a Family Medicine healthcare provider located in GRANDVILLE, Michigan. NPI 1063573319 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRANDVILLE, MI
Registration Details
- NPI Number
- 1063573319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.66872862154 yrs)
- Last Updated
- Jul 18, 2025
- License
-
RC050413 (MI)
Practice Information
- Address
-
3980 CHICAGO DR SW STE 200GRANDVILLE, MI, 494181392Browse MI providers · Browse ZIP 49418
- Phone
- 6163815181
- Fax
- 6163815178
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRANDVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| ANN M AUBURN | D.O. | 1518967660 |
| VIJIL K RAHULAN | MD | 1710953666 |
| REBECCA L WERNER | MD | 1629034244 |
| JAMES APPLEGATE | MD | 1902859358 |
| THOMAS MACHOLAN | MD | 1093768574 |
| GARY LYNN MARTZKE | MD | 1922053057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.