Individual
DR. CHRISTINA LOUISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3130 GRATIOT AVE, DETROIT, MI 48207-2283
(313) 579-1860
(313) 922-0917
Mailing address
3130 GRATIOT AVENUE, DETROIT, MI 48207
(313) 579-1860
(313) 579-0017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301083926
MI
Other
Enumeration date
12/18/2006
Last updated
08/07/2013
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