Marcella Ruth Clark in Detroit - General Practice
Marcella Ruth Clark - NPI 1902028913
Marcella Ruth Clark is a General Practice in Detroit, Michigan. Marcella Ruth Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marcella Ruth Clark is 1902028913. The last update date is 2021-10-02.
Marcella Ruth Clark's current location address is 7700 2nd Ave, Detroit, Michigan. You can contact this provider via phone number 3132028785 and fax number 3132026870. The mailing address for Marcella Ruth Clark is 7700 2nd Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcella Ruth Clark |
|---|---|
| Address | 7700 2nd Ave, Detroit, Michigan |
| Phone Number | 3132028785 |
| Fax Number | 3132026870 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902028913 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2021-10-02 |
Provider Mailing Address Detail
| Address | 7700 2nd Ave |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022411 |
| Phone Number | 3132028785 |
| Fax Number | 3132026870 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 4301054607 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identifier code issued to Marcella Ruth Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Marcella Ruth Clark has been assigned the NPI (National Provider Identifier) 1902028913. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Marcella Ruth Clark is geographically located?
The Marcella Ruth Clark is physically situated at the following location: 7700 2Nd Ave, Detroit, MI, 482022411.
What is Marcella Ruth Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marcella Ruth Clark's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Marcella Ruth Clark receive the assignment of its 1902028913 from the Centers for Medicare & Medicaid Services?
The Marcella Ruth Clark was issued its 1902028913 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date was the information pertaining to Marcella Ruth Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marcella Ruth Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-02.
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