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Individual

DR. JOEL CHARLES MCCLURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD, FAAOS

Contact information

Practice address
108 AUSTIN LN, MICHIGAN CITY, IN 46360-1789
(607) 438-8115
Mailing address
108 AUSTIN LN, MICHIGAN CITY, IN 46360-1789
(607) 438-8115

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01081382A
IN
207X00000X
Orthopaedic Surgery Physician
264649
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014P9
BCBS
NC
05
891334F
NC
Enumeration date
10/18/2007
Last updated
10/30/2023
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