Individual provider · Type 1 NPI

Christopher Matthew Clark, RN

Case Management Registered Nurse · Clinton Township, MI

NPI number 1255617080 Active

Practice location

16200 19 Mile Rd
Clinton Township, MI 48038-1103

Fax (586) 416-6705

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X4704280192 (MI)
Case Management Registered Nurse Primary 163WC0400X4704280192 (MI)

Case Management Registered Nurse: Definition to come...

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About NPI 1255617080

Christopher Matthew Clark, RN's National Provider Identifier is 1255617080, issued on Oct 25, 2011. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Clinton Township, MI. The record was last updated on Nov 19, 2018.