Individual
PHILIP MCCLARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29826
AL
207L00000X
Anesthesiology Physician
Primary
4301092378
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301092378
MI
Other
Enumeration date
07/31/2008
Last updated
09/14/2015
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