STACIE CLARK M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1558756833- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 6700 N ROCHESTER RD STE 112, ROCHESTER HILLS, MI, 483064378
- Phone
- (248) 650-1510
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: MI #4301117007