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Mary Clark
NPI 1760825392 · on the registry since 2013
Practice
- Address
- 8634 Oakside Ave
Commerce Township, MI 48382 - Phone
- (248) 770-5940
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-04-13
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