Search › Michigan › 207PP0204X
Alysa Clark, MD
NPI 1356903371 · on the registry since 2019
Practice
- Address
- 100 Michigan St Ne # Mc049
Grand Rapids, MI 49503 - Phone
- (616) 391-1680
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207PP0204X
207PP0204X
- Also registered as
- 207P00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan