Clark, Glen T
Clark, Glen T is an individual health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, Glen T can be contacted via phone (313) 473-1000.Contact Information
Primary practice address
468 Cadieux Rd
Grosse Pointe MI 48230-1507
Phone: (313) 473-1000
Fax: (313) 473-1934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301051119 | Michigan |
Profile Details
| NPI number | 1932110657 |
|---|---|
| LBN Legal business name | Clark, Glen T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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