Christina Louise Clark in Detroit - Family Medicine

Christina Louise Clark - NPI 1467515171

Christina Louise Clark is a Family Medicine in Detroit, Michigan. Christina Louise Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Christina Louise Clark is 1467515171. The last update date is 2013-08-07.

Christina Louise Clark's current location address is 3130 Gratiot Avenue, Detroit, Michigan. You can contact this provider via phone number 3135791860 and fax number 3135790017. The mailing address for Christina Louise Clark is 3130 Gratiot Avenue, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Christina Louise Clark
Address 3130 Gratiot Avenue, Detroit, Michigan
Phone Number 3135791860
Fax Number 3135790017
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1467515171
Provider Enumeration Date 2006-12-18
Last Updated Date 2013-08-07

Provider Mailing Address Detail

Address 3130 Gratiot Avenue
City Detroit
State Michigan (MI)
Post Code 48207
Phone Number 3135791860
Fax Number 3135790017

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301083926
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Christina Louise Clark

What is the Christina Louise Clark's unique identification number?

The Christina Louise Clark has been assigned the NPI (National Provider Identifier) Number 1467515171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Christina Louise Clark's physical address?

The Christina Louise Clark is physically located at 3130 Gratiot Avenue, in the city of Detroit, MI, with the postal code 48207.

What is the area of specialization for Christina Louise Clark, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Christina Louise Clark is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did Christina Louise Clark receive its 1467515171 assignment from the Centers for Medicare & Medicaid Services?

The Christina Louise Clark was assigned its 1467515171 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Christina Louise Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Christina Louise Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-08-07.

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