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Individual

MICHAEL GILMOUR MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
65 PENNSYLVANIA AVENUE, ORTHOPEDIC ASSOCIATES, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803
Mailing address
65 PENNSYLVANIA AVE, ORTHOPEDIC ASSOCIATES, BINGHAMTON, NY 13903
(607) 723-5393
(607) 771-0803

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
134605
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
134605
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00437458
NY
Enumeration date
08/25/2006
Last updated
03/24/2021
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