JOHN ROBERT CLARK MD PC NPI 1700188901

NPI Information

  • NPI: 1700188901
  • Provider Name: JOHN ROBERT CLARK MD PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 600 S LAKEVIEW AVE STE 207
    STURGIS, MI
    ZIP 49091
  • Phone: (269) 659-4646

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NPI Details

JOHN ROBERT CLARK MD PC is an obstetrics gynecology in Sturgis, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JOHN ROBERT CLARK MD PC NPI is 1700188901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 S LAKEVIEW AVE STE 207
STURGIS, MI
ZIP 49091-372
Phone: (269) 659-4646
Fax: (269) 651-2210

The provider's authorized official is John Robert Clark .
The authorized official title is President and has the following contact phone number (269) 659-4646.

The enumeration date for this NPI number is 11/22/2010 and was last updated on 11/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology4301062758MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10752758MEDICARE PIN
2C78427MEDICARE UPIN
33044976MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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