MICHAEL THOMAS CLARK

PHILADELPHIA, PA
NPI1366547515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP00179H)
Enumeration Date2006-09-13
Last Update Date2012-05-09
Business Address
-- MICHAEL THOMAS CLARK CRNP
3400 SPRUCE ST GROUND SILVERSTEIN
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6963
Mailing Address
-- MICHAEL THOMAS CLARK CRNP
3624 MARKET ST SUITE 560W
PHILADELPHIA, PA 19104-2614
Phone number: 215-662-2286
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