# JOHN ROBERT CLARK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700188901
- **Authorized official:** DR. JOHN ROBERT CLARK M.D. (PRESIDENT)
- **Authorized official phone:** (269) 659-4646

## Contact information

- **Practice address:** 600 S LAKEVIEW AVE STE 207, STURGIS, MI 49091-2372
- **Practice address phone:** (269) 659-4646
- **Practice address fax:** (269) 651-2210
- **Mailing address:** 600 S LAKEVIEW AVE STE 207, STURGIS, MI 49091-2372
- **Mailing address phone:** (269) 659-4646
- **Mailing address fax:** (269) 651-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301062758 | MI | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 11/24/2010