Individual
MRS. MARY A CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
626 S. MICHIGAN AVE, HOLLAND, MI 49423
(616) 394-3422
Mailing address
1414 STONEY LAKE DR, HOLLAND, MI 49424-6171
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
4704191572
MI
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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