Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey Keith Clark, MD

Individual provider Anesthesiology Physician · NPI 1629184734

Dr. Jeffrey Keith Clark, MD is an Anesthesiology in Detroit, Michigan. Graduated from University of Michigan Medical School in 1982, 44 years ago. Practices with Northstar Anesthesia of Michigan PLLC, a 190-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301049839 (MI)

Record details

NPI number1629184734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESAugust 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Group practice Northstar Anesthesia Of Michigan Pllc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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