Clark, Stacie

Clark, Stacie is an individual health care provider with primary practice located at 6700 N Rochester Rd Ste 112 , Rochester Hills MI 48306-4378. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Clark, Stacie can be contacted via phone (248) 650-1510.

Contact Information

Primary practice address
6700 N Rochester Rd Ste 112 Rochester Hills MI 48306-4378
Phone: (248) 650-1510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301117007 Michigan

Profile Details

NPI number 1558756833
LBN Legal business name Clark, Stacie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2015
Last updated Jan 5th, 2020 - about 4 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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