AUSTIN J CLARK

GRAND RAPIDS, MI
NPI1861128605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011296)
Enumeration Date2022-07-25
Last Update Date2022-11-14
Business Address
AUSTIN J CLARK PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-885-5000
Mailing Address
AUSTIN J CLARK PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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