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Individual
MR. MICHAEL DEAN CLARK JR.
Active
Individual
MR. MICHAEL DEAN CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44929
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
10/03/2022
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