Individual
MR. CLARK BISHOP II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
4704202764
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
26766 STANFORD ST, INKSTER, MI 48141-3135
(313) 283-7001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704202764
MI
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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