Randall Norton Clark in Grand Rapids - Family Medicine
Randall Norton Clark - NPI 1063573319
Randall Norton Clark is a Family Medicine in Grand Rapids, Michigan. Randall Norton Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randall Norton Clark is 1063573319. The last update date is 2011-04-21.
Randall Norton Clark's current location address is 3299 Clear Vista Ct Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163611200 and fax number 6163612198. The mailing address for Randall Norton Clark is 3299 Clear Vista Ct Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Norton Clark |
|---|---|
| Address | 3299 Clear Vista Ct Ne, Grand Rapids, Michigan |
| Phone Number | 6163611200 |
| Fax Number | 6163612198 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063573319 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 3299 Clear Vista Ct Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259477 |
| Phone Number | 6163611200 |
| Fax Number | 6163612198 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | RC050413 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RC050413 | MI | STATE LICENSE NUMBER | |
| 2851933 | MI | -- | |
| 080D14848 | MI | BCBS PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall Norton Clark by the Centers for Medicare & Medicaid Services?
The Randall Norton Clark has been issued the NPI (National Provider Identifier) 1063573319, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Randall Norton Clark is physically located?
The Randall Norton Clark is situated at the following address: 3299 Clear Vista Ct Ne, Grand Rapids, MI 495259477.
What is Randall Norton Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall Norton Clark's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When was the Randall Norton Clark's 1063573319 issued?
The Randall Norton Clark's 1063573319 was issued on 2006-12-12.
When was the information regarding Randall Norton Clark most recently updated?
The details pertaining to the Randall Norton Clark, including its address, specialty, and other relevant information, were last refreshed on 2011-04-21.
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