Individual
SAMANTHA ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912
(207) 205-7674
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(207) 205-7674
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101022012
MI
208M00000X
Hospitalist Physician
18840
ND
Other
Enumeration date
06/19/2015
Last updated
03/25/2025
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