Individual
MR. JOHN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8012 GLENDEVAN ST NW, MASSILLON, OH 44646-9017
(504) 717-9733
Mailing address
8012 GLENDEVAN ST NW, MASSILLON, OH 44646-9017
(504) 717-9733
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.144215
OH
208600000X
Surgery Physician
125070699
IL
Other
Enumeration date
05/10/2007
Last updated
05/17/2022
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