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Individual
CHRISTOPHER TIMOTHY CLARK
Active
Individual
CHRISTOPHER TIMOTHY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.072415
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
38281-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44055
TN
Other
Enumeration date
10/17/2006
Last updated
09/28/2010
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