Clark, Ian Laurence

Clark, Ian Laurence is an individual health care provider with primary practice located at 930 Blue Star Hwy , South Haven MI 49090-7758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Ian Laurence can be contacted via phone (269) 637-1115.

Contact Information

Primary practice address
930 Blue Star Hwy South Haven MI 49090-7758
Phone: (269) 637-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301518378 Michigan

Profile Details

NPI number 1609567643
LBN Legal business name Clark, Ian Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2023
Last updated Sep 8th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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