NPI 1235113382 AARON KENNETH CLARK M.D. PORT HURON MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Aaron Kenneth Clark - NPI: 1235113382

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: AARON KENNETH CLARK
NPI Number: 1235113382
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 4301062001
Business Practice Address: 1217 Kearney St
Suite 1 Port Huron, MI - 480603534
Business Phone Number: 8109822095
Business Fax Number: 8109828513
Mailing Address: 1217 Kearney St, Suite 1
PORT HURON
State: MI
Postal Code: 480603534
Phone Number: 8109822095
Fax Number: 8109828513
NPI Enumeration Date: 12/02/2005
NPI Last Update Date: 02/04/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: 4301062001
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


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