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Contact Information

MARK D CLARK, MD
3735 NORTON HILLS RD
NORTON SHORES, MI49441-4469
 Phone: 231-780-0484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

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

NPI Number 1205989605
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2007
Last updated 11/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301055514
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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