John Robert Clark MD PC

NPI #1700188901 in Sturgis, Michigan

Provider Information

NPI Number: 1700188901
Entity Type: Organization
Organization Name: John Robert Clark MD PC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 22, 2010
Last Updated: Nov 24, 2010

Practice Location

Address: 600 S LAKEVIEW AVE STE 207
City: Sturgis
State: Michigan
ZIP Code: 49091-2372
Phone: (269) 659-4646

Authorized Official

Name: DR. JOHN ROBERT CLARK, M.D.
Title: PRESIDENT
Phone: (269) 659-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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