# DAVID J CLUTTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700802634
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 45703 | MN | — |
| 208000000X | Pediatrics Physician | 5340 | ND | Yes |
| 208000000X | Pediatrics Physician | 9323 | ND | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 04/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10424 | MNBS \# | MN |
| 01 | — | 1201179 | MEDICA \# | ND |
| 01 | — | 1201796 | MEDICA \# | ND |
| 01 | — | 142003 | UCARE \# | ND |
| 05 | — | 15305 | — | ND |
| 01 | — | 2346 | NDBS \# | ND |
| 01 | — | 27359CL | MNBS \# | ND |
| 01 | — | 28732CL | MNBS \# | MN |
| 01 | — | 49788CL | MNBS \# | MN |
| 01 | — | 676556 | AMERICA'S PPO/ARAZ \# | ND |
| 05 | — | 694882100 | — | ND |
| 01 | — | 92799CL | MNBS \# | ND |
| 01 | — | 9601 | SIOUX VALLEY \# | ND |
| 01 | — | DA9011015522 | PREFERRED ONE \# | ND |
| 01 | — | HP19524 | HEALTHPARTNERS \# | ND |
| 01 | — | ND100001 | LHS \# | ND |