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

Matthew Lewis Clark, MD

Individual provider Internal Medicine Physician · NPI 1902288806

Matthew Lewis Clark, MD is a Dermatology in Rochester, Michigan. Qualified in 2015, 11 years ago. Practices with Modern Dermatology PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
2
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

1000 W University Dr Ste 314
Rochester, MI 48307-1876
Phone: (248) 375-4033
Fax: (248) 375-4034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301500350 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301108372 (MI)

Record details

NPI number1902288806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2015
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Modern Dermatology Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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