Search › Michigan › 363A00000X
Shanta Clark, P.A.-C
NPI 1790169688 · on the registry since 2015
Practice
- Address
- 58620 Sink Rd
Pokagon Health Services
Dowagiac, MI 49047 - Phone
- (269) 782-4141
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan