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

Justin Charles Clark, MD

Individual provider Neurological Surgery Physician · NPI 1598945644

Justin Charles Clark, MD is a Neurosurgery in Grand Rapids, Michigan. Graduated from University of Michigan Medical School in 2007, 19 years ago. Practices with Sheridan Community Hospital, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2007
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

414 Plymouth NE
Grand Rapids, MI 49505-6041
Phone: (616) 454-3465
Fax: (616) 242-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301104141 (MI)

Record details

NPI number1598945644
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESJune 26, 2015

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Sheridan Community Hospital — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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