Individual
KATHERYN ELISABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503-2527
(616) 391-2160
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704328067
MI
Other
Enumeration date
04/03/2017
Last updated
09/02/2021
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