JACOB NICHOLAS CLARK

LANSING, MI
NPI1972210920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011462)
Enumeration Date2022-10-31
Last Update Date2026-03-25
Business Address
JACOB NICHOLAS CLARK PA-C
1140 E MICHIGAN AVE STE 400
LANSING, MI 48912-1806
Phone number: 517-364-9650
Mailing Address
JACOB NICHOLAS CLARK PA-C
PO BOX 13008
LANSING, MI 48901-3008
Phone number:
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