Individual
MR. DANIEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACITIONER
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-5700
(810) 342-5504
Mailing address
9230 AUTUMNGLO DR, CLARKSTON, MI 48348-1608
(248) 330-5808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269853
MI
Other
Enumeration date
09/27/2014
Last updated
09/13/2024
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