Individual
MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21090 ALLEN RD, WOODHAVEN, MI 48183-1602
(734) 282-1800
(734) 287-0777
Mailing address
9051 NEWPORT CREEK RD, NEWPORT, MI 48166-7814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314552
MI
Other
Enumeration date
10/24/2022
Last updated
07/07/2024
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