Individual
DR. MARK DANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3735 NORTON HILLS RD, NORTON SHORES, MI 49441-4469
(231) 780-0484
Mailing address
3735 NORTON HILLS RD, NORTON SHORES, MI 49441-4469
(231) 780-0484
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301055514
MI
208D00000X
General Practice Physician
4301055514
MI
208VP0000X
Pain Medicine Physician
Primary
4301055514
MI
208VP0014X
Interventional Pain Medicine Physician
4301055514
MI
Other
Enumeration date
01/19/2007
Last updated
11/29/2022
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