Carrie Hoogerhyde Clark DO

NPI 1568787950 - Emergency Medicine - 207P00000X

NPI Details
NPI 1568787950
Gender Female
Enumeration Date 03/29/2010
Last Updated 06/06/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-1680
Fax
Business Location
2537 MOMENTUM PL
CHICAGO IL, 60689-5325, US
Phone (616) 988-8220
Fax (616) 285-0846
Toxanomy
Taxonomy Code 207P00000X
License State Michigan
License Number 5101018797
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According to our database, Carrie Hoogerhyde Clark DO NPI is 1568787950, taxonomy code is 207P00000X and license number is 5101018797, license state is located at Michigan. Carrie Hoogerhyde Clark DO physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Carrie Hoogerhyde Clark DO has the Individual type.

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1568787950 NPI number is provided on an as is basis without warranty of any kind. 1568787950 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie Hoogerhyde Clark DO are for informational purposes only.