EDWARD PETERSEN CLACK

DAYTON, OH
NPI1659629053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34.011463)
Enumeration Date2012-08-16
Last Update Date2023-05-03
Business Address
Dr. EDWARD PETERSEN CLACK DO
5900 N MAIN ST STE 3
DAYTON, OH 45415-3198
Phone number: 937-277-9371
Mailing Address
Dr. EDWARD PETERSEN CLACK DO
5900 N MAIN ST STE 3
DAYTON, OH 45415-3198
Phone number: 937-277-9371
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