Randall Clark, MD

Individual Active
NPI 1063573319
Family Medicine Physician Grandville, MI

NPI 1063573319 belongs to Randall Clark, MD, a family medicine physician with a practice location in Grandville, MI. The NPI was issued on December 12, 2006, and the record was last updated in NPPES on July 18, 2025.

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X RC050413 (MI)

Practice location

3980 Chicago Dr SW Ste 200
Grandville, MI 49418-1392
Phone: (616) 381-5181

Local context

Active NPPES records list 784 providers with family medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 408 of them within 10 miles.

The same primary taxonomy is listed by 8,119 in Michigan and 210,185 nationwide.

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

Nearby providers with the same primary taxonomy

Record history

Name on record
Dr. Randall Norton Clark
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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