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1114988540
MICHAEL L CLARK
WILMINGTON, OH
NPI
1114988540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: OH 35062520C)
Enumeration Date
2006-03-28
Last Update Date
2024-11-12
Business Address
MICHAEL L CLARK MD
596 W MAIN ST
WILMINGTON, OH 45177-2123
Phone number: 937-283-2588
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Mailing Address
MICHAEL L CLARK MD
610 W MAIN ST
WILMINGTON, OH 45177-2125
Phone number: 937-283-9815
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