Individual
JEREMY JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 S MAIN ST, FINDLAY, OH 45840
(419) 423-4500
(419) 423-5358
Mailing address
20378 STATE ROUTE 18, CUSTAR, OH 43511-9760
(419) 889-1364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022794
OH
Other
Enumeration date
05/21/2018
Last updated
05/30/2018
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