Individual
ERIC ALLEN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101018792
MI
207P00000X
Emergency Medicine Physician
Primary
5101018792
MI
Other
Enumeration date
03/26/2010
Last updated
02/24/2025
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