Individual
DR. MARY B. ROSE CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2418 BARSTOW RD, LANSING, MI 48906-3774
(231) 342-6132
Mailing address
121 READE ST APT 2B, NEW YORK, NY 10013-6305
(231) 342-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045488
MC NUMBER
MI
05
—
4118573
—
MI
01
—
4301065488
LISCENSE NUMBER
MI
01
—
ON 43980
PROVIDER NUMBER
MI
Enumeration date
12/15/2006
Last updated
10/17/2025
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