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Individual
DR. MICHAEL R CLEMMENS
Active
Individual
DR. MICHAEL R CLEMMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0041415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079171700
—
MD
01
—
2559709 2573474
AETNA HMO
MD
05
—
507000702
—
MD
01
—
52427806
CAREFIRST AAPG
MD
01
—
Y1220005
CAREFIRST AAPG
MD
Enumeration date
10/10/2005
Last updated
12/08/2013
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