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

Stacie Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558756833

Stacie Clark, MD is an Internal Medicine in Rochester Hills, Michigan. Graduated from Michigan State University College of Human Medicine in 2015, 11 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Michigan State University College of Human Medicine
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

6700 N Rochester Rd Ste 112
Rochester Hills, MI 48306-4378
Phone: (248) 650-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301117007 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558756833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESJanuary 5, 2020
Certification dateJanuary 5, 2020
Mailing address6700 N Rochester Rd Ste 112, Rochester Hills, MI 48306-4378

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2015 (11 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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