Individual
LAURA ANN CLEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7233
Mailing address
2335 HAWKINS AVE, ROYAL OAK, MI 48073-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301105921
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
4301105921
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
03/30/2021
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