NPI 1871540567

Clark A. Elliott, MD

Practitioner Otolaryngology Physician Traverse City, MI

Practice location

Address: 1104 Cass St, Traverse City, MI 49684-3236
Phone: (231) 941-1155
Fax: (231) 259-1005

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 12266 (ND)

Other Otolaryngology providers in Michigan →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 41717 (KY)

Pediatric Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X Licence 41717 (KY)

Registry record

NPI: 1871540567
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2006
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.