Individual
JAMES PATRICK CLANCY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
(269) 983-2758
Mailing address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
(269) 983-2758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301 060275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257957
—
WI
05
—
4170377 10
—
MI
Enumeration date
04/25/2006
Last updated
03/04/2024
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