Individual
MR. ANTHONY W CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7633 E JEFFERSON AVE, SUITE 340, DETROIT, MI 48214-3730
(313) 822-9801
(313) 822-1030
Mailing address
8120 E JEFFERSON AVE APT 4A, DETROIT, MI 48214-5520
(313) 331-6040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AC053024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4542507
—
MI
Enumeration date
12/04/2006
Last updated
03/24/2011
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