IndividualActive
Alysa Clark, MD
NPI 1356903371 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1356903371
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4351045601 (MI)
Practice location
100 Michigan St Ne # Mc049
Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
Mailing address
4100 Embassy Dr Se Ste 400
Grand Rapids, MI 49546-2416
Registry dates
- Enumerated
- 2019-06-29
- Last updated
- 2024-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.