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

Individual provider Anesthesiology Physician · NPI 1336436054

Christopher D Clark, MD is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Toledo Medical College in 2011, 15 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
Toledo Medical College
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455
Phone: (616) 732-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301098458 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301098458 (MI)

Record details

NPI number1336436054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTOLEDO MEDICAL COLLEGE
Graduated 2011 (15 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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