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Dr. Randall Norton Clark, MD
Family Medicine Physician in Grand Rapids, Michigan
NPI 1063573319

Randall Norton Clark is a Family Medicine Physician based in Grand Rapids, MI. Randall Norton Clark practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Randall Norton Clark is 1063573319 and holds a License No. RC050413 (Michigan).

The current practice location address for Randall Norton Clark is 3299 Clear Vista Ct Ne, Grand Rapids, MI and can be reached out via phone at 616-361-1200 and via fax at 616-361-2198.

Location: 3299 Clear Vista Ct Ne, Grand Rapids, MI, 49525-9477
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063573319
Provider Name
Randall Norton Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3299 Clear Vista Ct Ne, Grand Rapids, MI, 49525-9477
Phone Number
616-361-1200
Fax Number
616-361-2198
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC050413 01 MI STATE LICENSE NUMBER
2851933 05 MI
080D14848 01 MI BCBS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
3299 Clear Vista Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9477
Phone Number
616-361-1200
Fax Number
616-361-2198
person
Provider Business Mailing Address Details
Address
3299 Clear Vista Ct Ne
City
Grand Rapids
State
Michigan
Zip
49525-9477
Phone Number
616-361-1200
Fax Number
616-361-2198
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
RC050413 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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