Clark, Marcella Ruth

Clark, Marcella Ruth is an individual health care provider with primary practice located at 7700 2Nd Ave , Detroit MI 48202-2411. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Clark, Marcella Ruth can be contacted via phone (313) 202-8785.

Contact Information

Primary practice address
7700 2Nd Ave Detroit MI 48202-2411
Phone: (313) 202-8785
Fax: (313) 202-6870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301054607 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301054607 Michigan

Profile Details

NPI number 1902028913
LBN Legal business name Clark, Marcella Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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