DR. MICHAEL W CLARK (DO) – Emergency Medicine Physician, NPI 1073549804

DR. MICHAEL W CLARK (DO) is a healthcare provider. based in Spring lake, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 008264 (MI). The NPI Number for DR. MICHAEL W CLARK (DO) is 1073549804

Main info

Male
Name
DR. MICHAEL W CLARK (DO)
NPI
1073549804
Phone
Not provided
Address
18828 N FRUITPORT RD
Enumeration Date
23 June 2006
Last Update Date
28 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL W CLARK (DO)

  • North Fruitport Road, Spring Lake Township, Ottawa County, Michigan, 49456, United States

    SPRING LAKE, MI 494561160

    Phone:

    Type: Mailing

  • Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States

    SAINT JOSEPH, MI 490852112

    Phone: (269) 983-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49456)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL W CLARK (DO) in U.S. healthcare records?
The official identifier for DR. MICHAEL W CLARK (DO) is NPI 1073549804.
Would DR. MICHAEL W CLARK (DO) appear as active to a payer?
You can treat DR. MICHAEL W CLARK (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. MICHAEL W CLARK (DO)?
DR. MICHAEL W CLARK (DO)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL W CLARK (DO) located near Spring Lake?
DR. MICHAEL W CLARK (DO) currently maps to Spring Lake, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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