Individual
WILLIAM D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD STE 124, DEARBORN, MI 48124-4089
(313) 586-5011
(313) 592-7134
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301068667
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4577146
—
MI
Enumeration date
10/06/2005
Last updated
02/20/2024
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