Individual
DR. JOHN MICHAEL CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1322 E MICHIGAN AVE, SUITE 101, LANSING, MI 48912-2199
(517) 364-3593
(517) 364-3514
Mailing address
1322 E MICHIGAN AVE, SUITE 101, LANSING, MI 48912-2199
(517) 364-3593
(517) 364-3514
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301042316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301042316
PHYSICIAN LICENSE
MI
Enumeration date
01/14/2009
Last updated
01/14/2009
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