Individual
CHRISTOPHER CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
28234970A
IN
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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