Individual
MARCELLA RUTH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7700 2ND AVE, DETROIT, MI 48202-2411
(313) 202-8785
(313) 202-6870
Mailing address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6130
(248) 967-6552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054607
MI
208D00000X
General Practice Physician
4301054607
MI
Other
Enumeration date
05/02/2007
Last updated
10/02/2021
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