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Individual
DR. MICHAEL SYDENHAM CLARKE
Active
Individual
DR. MICHAEL SYDENHAM CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
214872
AK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A145061
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
125057726
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
214872
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A145061
CA MEDICAL LICENSE
CA
01
—
E-11363
AR MEDICAL LICENSE
AR
Enumeration date
06/17/2010
Last updated
03/07/2024
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