JACOB NICOLAS CLARK

LANSING, MI
NPI1972210920
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011462APP22)
Enumeration Date2022-10-31
Last Update Date2025-06-02
Business Address
JACOB NICOLAS CLARK PA-C
1200 E MICHIGAN AVE STE 235
LANSING, MI 48912-1852
Phone number: 517-364-5858
Mailing Address
JACOB NICOLAS CLARK PA-C
1509 OSBORN RD
LANSING, MI 48915-1282
Phone number:
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