Individual
DR. MELANIE A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 SOUTHERN AVE, KALAMAZOO, MI 49001-4337
(269) 207-5998
Mailing address
930 SOUTHERN AVE, KALAMAZOO, MI 49001-4337
(269) 207-5998
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301059375
MI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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