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Contact Information

WILLIAM D CLARK, MD
18101 OAKWOOD BLVD STE 124
DEARBORN, MI48124-4089
 Phone: 313-586-5011
 Fax: 313-592-7134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM D CLARK · (Male)

NPI # 1922096718
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2005
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301068667
  • MI Medicaid 4577146
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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