Individual
DR. CHRISTOPHER ROBERT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, DETROIT, MI 48202-2608
(313) 916-0692
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301103787
MI
Other
Enumeration date
04/01/2013
Last updated
11/17/2013
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