Individual
MICHAEL H. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 RIVER ROAD, NEW CASTLE, ME 04553-3838
(207) 563-3366
(207) 563-3393
Mailing address
80 RIVER ROAD, NEW CASTLE, ME 04553-3838
(207) 563-3366
(207) 563-3393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16528
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431565400
—
ME
Enumeration date
11/10/2005
Last updated
10/22/2009
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