Individual
DR. AUGUST JOHN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 E MOUNT HOPE AVE, LANSING, MI 48910-3207
(517) 267-3400
Mailing address
1157 WESTBURY CIR, APT 7, LANSING, MI 48917-8990
(517) 331-4709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101018342
MI
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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