Matthew Josiah Clark in Ypsilanti - Physician Assistant
Matthew Josiah Clark - NPI 1891848388
Matthew Josiah Clark is a Physician Assistant in Ypsilanti, Michigan. Matthew Josiah Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew Josiah Clark is 1891848388. The last update date is 2016-05-25.
Matthew Josiah Clark's current location address is 5333 Mcauley Dr, Ypsilanti, Michigan. You can contact this provider via phone number 7347127688 and fax number 7347127056. The mailing address for Matthew Josiah Clark is 5333 Mcauley Dr, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Josiah Clark |
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Address | 5333 Mcauley Dr, Ypsilanti, Michigan |
Phone Number | 7347127688 |
Fax Number | 7347127056 |
Sole Proprietor | N |
Credentials | P.A. |
NPI Number Detail
NPI Number | 1891848388 |
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Provider Enumeration Date | 2007-01-19 |
Last Updated Date | 2016-05-25 |
Provider Mailing Address Detail
Address | 5333 Mcauley Dr |
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City | Ypsilanti |
State | Michigan (MI) |
Post Code | 481971014 |
Phone Number | 7347127688 |
Fax Number | 7347127056 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601004804 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Matthew Josiah Clark by the Centers for Medicare & Medicaid Services?
The Matthew Josiah Clark has been issued the NPI (National Provider Identifier) 1891848388, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Matthew Josiah Clark's facilities are situated?
The facilities of Matthew Josiah Clark are physically located at the following address: 5333 Mcauley Dr, Ypsilanti, MI, 481971014.
What is Matthew Josiah Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matthew Josiah Clark is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Matthew Josiah Clark receive the assignment of its 1891848388 from the Centers for Medicare & Medicaid Services?
The Matthew Josiah Clark was issued its 1891848388 by the Centers for Medicare & Medicaid Services on 2007-01-19.
When was the information regarding Matthew Josiah Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Matthew Josiah Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-25.