Individual provider · Type 1 NPI

Ian Laurence Clark, MD

Family Medicine Physician · South Haven, MI

NPI number 1609567643 Active

Practice location

930 Blue Star Hwy
South Haven, MI 49090-7758

Mailing address

601 John Street, Box 42
Kalamazoo, MI 49007

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X4301518378 (MI)

Family Medicine Physician: 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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About NPI 1609567643

Ian Laurence Clark, MD's National Provider Identifier is 1609567643, issued on May 19, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Haven, MI. The record was last updated on Sep 8, 2026.