Organization
AARON K. CLARK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KENNETH CLARK MD (OWNER)
(810) 982-2095
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080G412290
BCBS
MI
Enumeration date
09/27/2007
Last updated
12/06/2024
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