BRIAN CLARK

KALAMAZOO, MI
NPI1962477794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704219567)
Enumeration Date2006-02-23
Last Update Date2007-07-08
Business Address
-- BRIAN CLARK CRNA
900 PEELER ST
KALAMAZOO, MI 49008-2380
Phone number: 269-345-8618
Mailing Address
-- BRIAN CLARK CRNA
900 PEELER ST
KALAMAZOO, MI 49008-2380
Phone number: 269-345-8618
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