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Individual

DR. ROBERT CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7044 SANDY HILL WAY, HOLLAND, OH 43528-8088
(419) 491-8205
Mailing address
7044 SANDY HILL WAY, HOLLAND, OH 43528-8088
(419) 491-8205

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
90123
OH

Other

Enumeration date
03/22/2007
Last updated
01/09/2008
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