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1437173630
CLARK DAVID PHELPS
TRAVERSE CITY, MI
NPI
1437173630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 4301053326)
Enumeration Date
2006-07-27
Last Update Date
2020-04-29
Business Address
DR. CLARK DAVID PHELPS MD
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-0497
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Mailing Address
DR. CLARK DAVID PHELPS MD
PO BOX 30516, DEPT. 9516
LANSING, MI 48909-8016
Phone number: 231-935-0497
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