NPI Profile for ALYSA M CLARK in GRAND RAPIDS, MI.
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
207PP0204X | 93 | Physician/Emergency Medicine | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine |
| NPI Number | 1356903371 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/29/2019 | |
| Last updated | 04/09/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ALYSA M CLARK
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