Individual
NICOLE A CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, LANSING, MI 48912-1800
(443) 370-3119
Mailing address
1200 E MICHIGAN AVE, LANSING, MI 48912-1800
(443) 370-3119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351049230
MI
Other
Enumeration date
06/22/2022
Last updated
06/24/2022
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