IndividualActive
Christopher Clark, RN
NPI 1255617080 · Case Management Registered Nurse · Clinton Township, MI
Provider details
- NPI number
- 1255617080
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 4704280192 (MI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
16200 19 Mile Rd
Clinton Township, MI 48038-1103
Phone: (586) 873-8607
Fax: (586) 416-6705
Approximate (ZIP-level) locationGet directions
Mailing address
16200 19 Mile Rd
Clinton Township, MI 48038-1103
Registry dates
- Enumerated
- 2011-10-25
- Last updated
- 2018-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.