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Dr. Clark David Phelps JR., MD
Diagnostic Radiology Physician in Traverse City, Michigan
NPI 1437173630

Clark David Phelps JR. is a Diagnostic Radiology Physician based in Lansing, MI and is specialized in Diagnostic Radiology. Clark David Phelps JR. practices in Traverse City, MI and has the professional credentials of MD. The NPI Number for Clark David Phelps JR. is 1437173630 and holds a License No. 4301053326 (Michigan).

The current practice location address for Clark David Phelps JR. is 1105 Sixth St, Traverse City, MI and can be reached out via phone at 231-935-0497.

Location: 1105 Sixth St, Traverse City, MI, 48909-8016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437173630
Provider Name
Clark David Phelps JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1105 Sixth St, Traverse City, MI, 48909-8016
Phone Number
231-935-0497
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1105 Sixth St
City
Traverse City
State
Michigan
Zip
49684-2345
Phone Number
231-935-0497
Fax Number
person
Provider Business Mailing Address Details
Address
1105 Sixth St
City
Traverse City
State
Michigan
Zip
49684-2345
Phone Number
231-935-0497
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301053326 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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