Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aaron Kenneth Clark, MD

Individual provider Family Medicine Physician · NPI 1235113382

Aaron Kenneth Clark, MD is a Family Practice in Port Huron, Michigan. Graduated from Wayne State University School of Medicine in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1984 Holland Ave
Port Huron, MI 48060-1520
Phone: (810) 982-2095
Fax: (810) 982-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301062001 (MI)

Record details

NPI number1235113382
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address1984 Holland Ave, Port Huron, MI 48060-1520

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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