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Individual
DR. MICHAEL T CLARK
Active
Individual
DR. MICHAEL T CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11809510184A
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508438Y0NH01
ANTHEM
NH
01
—
19394
MATTHEW THORNTON HEALTH P
NH
05
—
30001768
—
NH
01
—
3228
CIGNA
NH
01
—
453731
AETNA
NH
01
—
63665
GREAT WEST NA
—
01
—
7802 OUT OF STATE
ANTHEM NJ
NJ
01
—
80705
GREAT WEST HC
NH
01
—
AA44982
HPHC
NH
Enumeration date
04/11/2006
Last updated
01/29/2016
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