Individual
FRANK M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3130 GRATIOT AVENUE, DETROIT, MI 48207
(313) 579-1860
(313) 579-0017
Mailing address
3130 GRATIOT AVE, DETROIT, MI 48207
(313) 579-1860
(313) 579-0017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127111
—
MI
Enumeration date
07/31/2006
Last updated
07/08/2007
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