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

John W Clark, CCP

Individual provider Perfusionist · NPI 1689941833

John W Clark, CCP is a Perfusionist in Livonia, Michigan. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2041
Phone: (734) 525-9217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1689941833
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041

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