Individual
STEPHEN P CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 MINOT AVE, AUBURN, ME 04210-3922
(207) 783-1328
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD21734
ME
Other
Enumeration date
04/30/2014
Last updated
07/21/2022
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