Individual
MATTHEW LEWIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W UNIVERSITY DR STE 314, ROCHESTER, MI 48307-1876
(248) 375-4033
(248) 375-4034
Mailing address
1000 W UNIVERSITY DR STE 314, ROCHESTER, MI 48307-1876
(245) 375-4033
(248) 375-4034
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301500350
MI
207R00000X
Internal Medicine Physician
4301108372
MI
Other
Enumeration date
06/26/2015
Last updated
02/22/2025
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