John Clark

NPI #1104794197 in Jackson, Michigan

Provider Information

NPI Number
1104794197
Entity Type
Individual
Name
John Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 29, 2025
Last Updated
Oct 29, 2025

Practice Location

Address
1200 N WEST AVE
ZIP Code
49202-2179
Phone
(517) 789-1209

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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