Glen T Clark, MD

NPI #1932110657 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1932110657
Entity Type: Individual
Name: Glen T Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Aug 10, 2006
Last Updated: Jul 19, 2022

Practice Location

Address: 468 CADIEUX RD
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1507
Phone: (313) 473-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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