Cassidy Clark, DO

Individual Active
NPI 1023802725
Surgery Physician Grand Rapids, MI

Cassidy Clark, DO is a surgery physician practicing in Grand Rapids, MI. The NPI was issued on April 7, 2025, and the record was last updated in NPPES on June 18, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X 5151017360 (MI)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice location

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 391-6243

Local context

Active NPPES records list 163 providers with surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 160 of them within 10 miles.

The same primary taxonomy is listed by 1,764 in Michigan and 44,975 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Other providers at this address

Providers whose NPPES practice location has the same street address, listing those with a page here.

Nearby providers with the same primary taxonomy

Record history

Name on record
Cassidy Leigh Clark
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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