Individual
MR. MARK REID CLUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-3000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.001285
OH
363A00000X
Physician Assistant
Primary
50001285
OH
Other
Enumeration date
06/02/2006
Last updated
11/05/2024
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