Shirin Elizabeth Clark D.O.

NPI 1073589040 - Family Medicine - 207Q00000X

NPI Details
NPI 1073589040
Gender Female
Enumeration Date 02/28/2006
Last Updated 07/16/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 E MICHIGAN AVE STE 245A
LANSING MI, 48912-1800, US
Phone (517) 364-5772
Fax (517) 364-5764
Business Location
1200 E MICHIGAN AVE STE 245A
LANSING MI, 48912-1800, US
Phone (517) 364-5772
Fax (517) 364-5764
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101014952
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According to our database, Dr. Shirin Elizabeth Clark D.O. NPI is 1073589040, taxonomy code is 207Q00000X and license number is 5101014952, license state is located at Michigan. Shirin Elizabeth Clark D.O. physically located at 1200 E Michigan Ave Ste 245a, Lansing MI, 48912-1800. NPI Number Shirin Elizabeth Clark D.O. has the Individual type.

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1073589040 NPI number is provided on an as is basis without warranty of any kind. 1073589040 is maintained by the National Plan & Provider Enumeration System. The contents of Shirin Elizabeth Clark D.O. are for informational purposes only.