DR. MARK CLARK MD
NPI 1407958291
Family Medicine in Goodrich, MI

Active since September 02, 2006
7477 S STATE RD, GOODRICH, MI 48438(810) 636-2235(810) 636-3008 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK CLARK MD (NPI 1407958291) is an individual family medicine provider in Goodrich, Michigan, licensed in Michigan (4301044876) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1407958291
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK CLARKCredential: MD
Location Address7477 S STATE RDGoodrich, MI 48438-8745
Mailing Address7477 S State RdGoodrich, MI 48438-8745 · (810) 636-2235 · Fax (810) 636-3008
Fax(810) 636-3008
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateNovember 21, 2011
NPI 1407958291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301044876
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7477 S STATE RD, Goodrich, MI 48438

Other Identifiers 3

Medicaid3236035MI
Medicare UPINB46047MI
Medicare PINM23560016MI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
7477 S STATE RD
GOODRICH, MI 48438
Family Medicine
7477 S STATE RD
GOODRICH, MI 48438
Family Medicine
7477 S STATE RD
GOODRICH, MI 48438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Clark's NPI number?

The NPI number for Mark Clark is 1407958291. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Mark Clark located?

Mark Clark practices at 7477 S State Rd, Goodrich, MI 48438. The listed phone number is (810) 636-2235.

What is Mark Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Clark was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.