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Individual

DR. MICHAEL PATRICK CLARK SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
633 MOUNT ROYAL BLVD, PITTSBURGH, PA 15223-1225
(412) 486-3355
(412) 486-3355
Mailing address
214 FALCONHURST DR N, PITTSBURGH, PA 15238-2628
(412) 826-8805
(412) 486-1552

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003464-L
PA

Other

Enumeration date
10/19/2006
Last updated
07/08/2007
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