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Individual
DR. CLARK C DUCHENE
Active
Individual
DR. CLARK C DUCHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5361
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254560001
CIGNA MEDICARE
SD
05
—
6402220
—
SD
01
—
P00142152
MEDICARE RAILROAD PTAN
—
Enumeration date
01/19/2006
Last updated
07/26/2024
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