Individual
DEXTER D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1414 W FAIR AVE, SUITE 36, MARQUETTE, MI 49855-2675
(906) 225-3867
Mailing address
PO BOX 13811, BELFAST, ME 04915-4029
(906) 225-3630
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023137
MI
Other
Enumeration date
04/24/2017
Last updated
10/19/2020
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