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Justin Charles Clark, MD
Neurological Surgery Physician in Grand Rapids, Michigan
NPI 1598945644

Justin Charles Clark is a Neurological Surgery Physician based in Grand Rapids, MI. Justin Charles Clark practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Justin Charles Clark is 1598945644 and holds a License No. 4301104141 (Michigan).

The current practice location address for Justin Charles Clark is 414 Plymouth Ne, Grand Rapids, MI and can be reached out via phone at 616-454-3465 and via fax at 616-242-7060.

Location: 414 Plymouth Ne, Grand Rapids, MI, 49505-6041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598945644
Provider Name
Justin Charles Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
414 Plymouth Ne, Grand Rapids, MI, 49505-6041
Phone Number
616-454-3465
Fax Number
616-242-7060
Provider Enumeration Date
11/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80762 01 AZ TRAINING PERMIT
4301104141 01 MI STATE OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
414 Plymouth Ne
City
Grand Rapids
State
Michigan
Zip
49505-6041
Phone Number
616-454-3465
Fax Number
616-242-7060
person
Provider Business Mailing Address Details
Address
414 Plymouth Ne
City
Grand Rapids
State
Michigan
Zip
49505-6041
Phone Number
616-454-3465
Fax Number
616-242-7060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
4301104141 (Michigan)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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