Individual
SUZETTE R CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8747
(402) 219-8748
Mailing address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-8747
(402) 219-8748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30401
NE
207R00000X
Internal Medicine Physician
BP10049386
TX
Other
Enumeration date
05/21/2014
Last updated
01/16/2018
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