Individual
DR. SYLVAN E CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9294
(574) 204-9228
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9294
(574) 204-9228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01068021A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200984870
—
IN
Enumeration date
05/16/2007
Last updated
07/10/2024
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