Search › Michigan › 363LP2300X
Natisha Clark
NPI 1871957985 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6777 W Maple Rd
West Bloomfield, MI 48322 - Phone
- (800) 683-6568
- Fax
- (313) 876-1305
- Organisation at this address
- Henry Ford Hospital
Henry Ford Health System
Henry Ford Health System
Henry Ford Health System
Henry Ford Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 346
Additional practice sites
- 15150 Fort St, Southgate, MI
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-10
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