Individual provider · Type 1 NPI
Bruce M. Clark, C.P.O
Specialist · Southfield, MI
NPI number
1437252525
Active
Practice location
24395 Greenfield Rd
Southfield, MI 48075-3118
Fax (248) 557-3639
Mailing address
24395 Greenfield Road
Southfield, MI 48075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 921 |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1437252525
Bruce M. Clark, C.P.O's National Provider Identifier is 1437252525, issued on Sep 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southfield, MI. The record was last updated on Jul 9, 2007.