Carol Clark is a Emergency Medicine in Royal Oak, Michigan. Carol Clark practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Carol Clark is 1215996574. The last update date is 2022-07-19.
Carol Clark's current location address is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can contact this provider via phone number 2488980575. The mailing address for Carol Clark is 3601 W 13 Mile Rd, Royal Oak, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Clark |
|---|---|
| Address | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Phone Number | 2488980575 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1215996574 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2022-07-19 |
Provider Mailing Address Detail
| Address | 3601 W 13 Mile Rd |
|---|---|
| City | Royal Oak |
| State | Michigan (MI) |
| Post Code | 480736712 |
| Phone Number | 2488980575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 4301050141 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010F362410 | MI | BCBSM | |
| 2746544 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carol Clark by the Centers for Medicare & Medicaid Services?
The Carol Clark has been assigned the NPI (National Provider Identifier) 1215996574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Carol Clark is physically located?
The Carol Clark is physically situated at the following address: 3601 W 13 Mile Rd, Royal Oak, MI, 480736712.
What is Carol Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carol Clark is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215996574 to Carol Clark?
The Centers for Medicare & Medicaid Services assigned the 1215996574 to Carol Clark on 2006-03-23.
As of what date was the information pertaining to Carol Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carol Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-19.
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