Individual
MR. MICHAEL DEAN CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 VALLEY RD STE 110, BIRMINGHAM, AL 35235-8683
(205) 838-3090
(205) 838-3043
Mailing address
833 SAINT VINCENTS DR STE 403, BIRMINGHAM, AL 35205-1614
(205) 939-0447
(205) 939-0418
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44929
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
10/03/2022
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