-- JUSTIN CHARLES CLARK -- MD
Individual Provider (NPI-1)
Active
Neurological Surgery
Provider Information
- NPI Number
1598945644- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 414 PLYMOUTH NE, GRAND RAPIDS, MI, 495056041
- Phone
- (616) 454-3465
- Fax
- (616) 242-7060
Specialties & Taxonomies
Neurological Surgery
Primary License: MI #4301104141