Individual
RACHEL GRACE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 W MAIN ST STE 120, NORTHVILLE, MI 48167-1548
(248) 347-1168
(248) 347-1252
Mailing address
30527 BURBANK ST, FARMINGTON HILLS, MI 48334-2925
(734) 502-4178
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502006226
MI
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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