Mark Clark is a Family Medicine in Goodrich, Michigan. Mark Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Clark is 1407958291. The last update date is 2011-11-21.
Mark Clark's current location address is 7477 S State Rd, Goodrich, Michigan. You can contact this provider via phone number 8106362235 and fax number 8106363008. The mailing address for Mark Clark is 7477 S State Rd, Goodrich, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Clark |
|---|---|
| Address | 7477 S State Rd, Goodrich, Michigan |
| Phone Number | 8106362235 |
| Fax Number | 8106363008 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407958291 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2011-11-21 |
Provider Mailing Address Detail
| Address | 7477 S State Rd |
|---|---|
| City | Goodrich |
| State | Michigan (MI) |
| Post Code | 484388745 |
| Phone Number | 8106362235 |
| Fax Number | 8106363008 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301044876 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3236035 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Clark by the Centers for Medicare & Medicaid Services?
The Mark Clark has been issued the NPI (National Provider Identifier) 1407958291. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Clark is geographically located?
The Mark Clark is physically situated at the following location: 7477 S State Rd, Goodrich, MI, 484388745.
What is Mark Clark's area of expertise and its corresponding taxonomy classification?
The Mark Clark's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Clark receive its 1407958291 assignment from the Centers for Medicare & Medicaid Services?
The Mark Clark was assigned its 1407958291 by the Centers for Medicare & Medicaid Services on 2006-09-02.
When was the information related to Mark Clark most recently updated or refreshed?
The details pertaining to the Mark Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-21.