Clark, William D

Clark, William D is an individual health care provider with primary practice located at 18101 Oakwood Blvd Ste 124 , Dearborn MI 48124-4089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Clark, William D can be contacted via phone (313) 586-5011.

Contact Information

Primary practice address
18101 Oakwood Blvd Ste 124 Dearborn MI 48124-4089
Fax: (313) 592-7134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301068667 Michigan

Profile Details

NPI number 1922096718
LBN Legal business name Clark, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Feb 20th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922096718 NPPES
Michigan MEDICAID 4577146

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