SearchMichigan225700000X

Melissa Clark

NPI 1316815145 · on the registry since 2025 · sole proprietor

Practice

Address
20557 Motor Dr
Detroit, MI 48235
Phone
(248) 383-3816

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan