Garret Eugene Clark, MD
Individual provider Active NPI Internal Medicine Physician · Milford, MI
NPI 1023709151 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1023709151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301517967 (MI)
- Practice address
- 1435 N Milford Rd Ste 101
Milford, MI 48381-1015 - Phone
- (248) 685-9780
- Fax
- (248) 684-2251
- NPI assigned
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Wayne State University School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Ford PL
Detroit, MI 48202-3067
1 Ford PL
3A
Detroit, MI 48202-3450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802001206 | MI | Order and Referring Only - Internal Medicine |
9032570460 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351051178 | MI | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301517967 | MI | Yes |
Addresses
Primary practice location
1435 N Milford Rd Ste 101
Milford, MI 48381-1015
Mailing address
1435 N Milford Rd Ste 101
Milford, MI 48381-1015
Phone (248) 685-9780
Other providers in Milford, MI
- Timothy Michael Cavanaugh
- Louis C Chiara
- Rashna Chinoy
- Anna Chong-Huszti
- Gloria A Christin
- Keisa Lavette Clark
- Sarah Dobrei Clark
- Thomas Whitfield Colt
- Compassionate Home Health Care, Inc
- Colleen Rafferty Concepcion
All providers in Milford, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.