Individual
DR. PAUL M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 CHERRY ST, #303 ACC, TOLEDO, OH 43608-2603
(419) 251-3112
(419) 251-3712
Mailing address
2213 CHERRY ST, 303 ACC, TOLEDO, OH 43608-2603
(419) 251-3312
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35.039569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00340
PARAMOUNT
OH
05
—
0314814
—
OH
05
—
1539188
—
MI
Enumeration date
08/15/2005
Last updated
10/16/2007
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