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Individual

DR. RAY HOWARD CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 E MICHIGAN AVE, JACKSON, MI 49201-1847
(517) 789-7122
Mailing address
1976 Q LN, CLARKLAKE, MI 49234-9747
(517) 529-4168

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301025864
MI

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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