Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Leigh Clark, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023802725

Cassidy Leigh Clark, DO is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 Michigan St NE Ste A601
Grand Rapids, MI 49503-2560
Phone: (616) 391-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5151017360 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023802725
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address100 Michigan St Ne Ste A601, Grand Rapids, MI 49503-2560

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