Individual
COURTNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(989) 583-0000
Mailing address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351051378
MI
Other
Enumeration date
07/03/2021
Last updated
06/12/2023
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