Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALYSA MICHELLE CLARK, MD
ActiveALYSA MICHELLE CLARK, MD is a Pediatric Emergency Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1356903371 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1356903371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2019 (7.1463794051627 yrs)
- Last Updated
- Apr 9, 2024
- Licenses
-
4351045601 (MI)4301504949 (MI)
Practice Information
- Address
-
100 MICHIGAN ST NE # MC049GRAND RAPIDS, MI, 495032560Browse MI providers · Browse ZIP 49503
- Phone
- 6163911680
- Primary Specialty
-
Pediatric Emergency Medicine
207PP0204X
- Additional Specialty
- Pediatric Emergency Medicine
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.