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Contact Information

ROBERT T CLARK MD PC
7575 GRAND RIVER RD
SUITE 111
BRIGHTON, MI48114-9309
 Phone: 810-844-7744
 Fax: 810-844-7725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ROBERT T CLARK MD PC · (Female)

NPI Number 1821154667
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2006
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301040778
  • MI Medicaid 102681557
  • MI Other 0297200001 DME SUPPLIER
  • MI Other 0D710210 GRP # BCBS
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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