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

Dr. Randall Norton Clark, MD

Individual provider Family Medicine Physician · NPI 1063573319

Dr. Randall Norton Clark, MD is a Family Medicine Physician in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3980 Chicago Dr SW Ste 200
Grandville, MI 49418-1392
Phone: (616) 381-5181
Fax: (616) 381-5178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RC050413 (MI)

Record details

NPI number1063573319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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