JUSTIN CHARLES CLARK

GRAND RAPIDS, MI
NPI1598945644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: MI  4301104141)
Enumeration Date2007-11-06
Last Update Date2015-06-26
Business Address
JUSTIN CHARLES CLARK MD
414 PLYMOUTH NE
GRAND RAPIDS, MI 49505-6041
Phone number: 616-454-3465
Mailing Address
JUSTIN CHARLES CLARK MD
414 PLYMOUTH NE
GRAND RAPIDS, MI 49505-6041
Phone number: 616-454-3465
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