William A Clark, PA-C
Physician Assistant in Holt, MI. Individual provider (NPI-1).
NPI number1982605739
StatusActive
Last updated in NPPESJun 5, 2015
Details
- NPI
- 1982605739
- Entity type
- Individual (NPI-1)
- Name
- Mr. William A Clark
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2005
- Last updated
- Jun 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601001772 | MI | Yes |
Practice location
2380 Cedar StHolt, MI 48842-2143
Phone 517-742-4922 · Fax 517-699-2904
Mailing address
3413 Woods EdgeOkemos, MI 48864-5901
Phone 517-349-3303 · Fax 517-349-4374
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All 7 Physician Assistant providers in Holt · All 341 providers in Holt
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