Individual
AARON T CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12330 JAMES ST, HOLLAND, MI 49424-8689
(616) 582-3100
Mailing address
12330 JAMES ST, HOLLAND, MI 49424-8689
(616) 582-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011622
MI
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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