Individual
DR. ANGELA CECILE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
1109 BISHOP RD, GROSSE POINTE PARK, MI 48230-1422
(313) 402-4877
Mailing address
1109 BISHOP RD, GROSSE POINTE PARK, MI 48230-1422
(313) 402-4877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4704198035
MI
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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