Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN CHARLES CLARK, MD
Active Sole ProprietorJUSTIN CHARLES CLARK, MD is a Neurological Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1598945644 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1598945644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2007 (18.791697235065 yrs)
- Last Updated
- Jun 26, 2015
- License
-
4301104141 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
414 PLYMOUTH NEGRAND RAPIDS, MI, 495056041Browse MI providers · Browse ZIP 49505
- Phone
- 6164543465
- Fax
- 6162427060
- Primary Specialty
-
Neurological Surgery
207T00000X
Other Neurological Surgery Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| TODD W VITAZ | MD | 1770576977 |
| VICENTE CALDEIRA GRACIAS | M.D. | 1346215969 |
| STEVE R KLAFETA | MD | 1033140868 |
| JURGEN LUDERS | MD | 1609891704 |
| JOSEPH ANTHONY PETRONIO | MD | 1427138429 |
| DR. LYNN S. HEDEMAN | M.D. | 1497836282 |
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.