Individual
DR. JOHN MICHAEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 E LANCASTER AVE, HEART PAVILION MEZZANINE LEVEL, WYNNEWOOD, PA 19096-3435
(484) 476-1000
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS019297
PA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
OS019297
PA
207RC0000X
Cardiovascular Disease Physician
OS019297
PA
Other
Enumeration date
06/14/2011
Last updated
10/17/2024
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