Individual provider · Type 1 NPI
Alysa Michelle Clark, MD
Pediatric Emergency Medicine (Emergency Medicine) Physician · Grand Rapids, MI
NPI number
1356903371
Active
Practice location
100 Michigan St NE # MC049
Grand Rapids, MI 49503-2560
Mailing address
4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4351045601 (MI) |
| Pediatric Emergency Medicine (Emergency Medicine) Physician Primary | 207PP0204X | 4301504949 (MI) |
Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
2 other providers at this address
About NPI 1356903371
Alysa Michelle Clark, MD's National Provider Identifier is 1356903371, issued on Jun 29, 2019. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 9, 2024.