Individual
MR. RICHARD J CLEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4319
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184307
TN
163W00000X
Registered Nurse
31294.1210
WY
163W00000X
Registered Nurse
3896
WY
363L00000X
Nurse Practitioner
31294.1210
WY
363L00000X
Nurse Practitioner
Primary
4704320486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134350500
—
WY
Enumeration date
09/17/2012
Last updated
08/17/2016
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