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

TaxonomyCodeLicense
Specialist Primary 174400000X921

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.

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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.