Individual
DR. DAVID DANIEL CLARK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(989) 621-0019
Mailing address
32 ELDREDGE ST, MOUNT CLEMENS, MI 48043-5408
(989) 621-0019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018227
MI
282N00000X
General Acute Care Hospital
5101018227
MI
Other
Enumeration date
07/13/2009
Last updated
07/25/2012
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