Individual
MICHAEL R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2223
Mailing address
PO BOX 634280, CINCINNATI, OH 45263-0041
(517) 336-8080
(517) 336-9122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
035740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103325402
BLUE CROSS BLUE SHIELD
MI
05
—
1253242
—
MI
01
—
200000001776
PHP & PHPFC
MI
Enumeration date
09/25/2006
Last updated
12/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us