Individual
AARON KENNETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1984 HOLLAND AVE, PORT HURON, MI 48060-1520
(810) 982-2095
(810) 982-8513
Mailing address
1984 HOLLAND AVE, PORT HURON, MI 48060-1520
(810) 982-2095
(810) 982-8513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4492666
—
MI
Enumeration date
12/02/2005
Last updated
12/09/2024
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