Individual
GERALD L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
37 MEADOWS SHOPPING CTR, TERRE HAUTE, IN 47803-2373
(812) 234-9332
Mailing address
37 MEADOWS SHOPPING CTR, TERRE HAUTE, IN 47803-2373
(812) 234-9332
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001164A
IN
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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