Search › Michigan › 367A00000X
Katheryn Clark, CNM
NPI 1417489931 · on the registry since 2017
Practice
- Address
- 100 Michigan St Ne # Mc027
Grand Rapids, MI 49503 - Phone
- (616) 391-1751
- Fax
- (616) 391-2310
- Clinicians at this address
- 16
Additional practice sites
- 330 Barclay Ave Ne Ste 304, Grand Rapids, MI
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan