Individual
DR. MICHAEL J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4411 FISHER RD, ATHENS, OH 45701-9334
(740) 591-8118
Mailing address
416 COLEGATE DR BLDG 3, MARIETTA, OH 45750-9549
(740) 568-4814
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34.002676
OH
Other
Enumeration date
09/25/2006
Last updated
09/06/2023
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