Individual
DR. MICHAEL SYDENHAM CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4529
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4529
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
214872
AK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A145061
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
125057726
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
214872
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A145061
CA MEDICAL LICENSE
CA
01
—
E-11363
AR MEDICAL LICENSE
AR
Enumeration date
06/17/2010
Last updated
03/07/2024
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