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Mr. Michael Dwayne Clark

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NPI Number Detailed Information

Provider Information:

Name: Mr. Michael Dwayne Clark
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1063683597
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/12/2008

Last Update Date: 3/12/2008

Provider Business Mailing Address:

Address: 619 CLARENCE ST APT 5
Lake Charles, LA 70601
Phone Number: 3377218070
Fax Number: 3377218060

Provider Business Practice Location Address:

Address: 619 CLARENCE ST APT 5
Lake Charles, LA 70601
Phone Number: 3377218070
Fax Number: 3377218060

Provider Taxonomy:

Primary: 172A00000X
Secondary (if any):
State: LA

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About Mr. Michael Dwayne Clark

Mr. Michael Dwayne Clark (MR. MICHAEL DWAYNE CLARK ) is A Driver Physician in Lake Charles, LA. The NPI Number for Mr. Michael Dwayne Clark is 1063683597.
The current location address for Mr. Michael Dwayne Clark is 619 CLARENCE ST APT 5 Lake Charles, LA 70601 and the contact number is 3377218070 and fax number is 3377218060. The mailing address for Mr. Michael Dwayne Clark is 619 CLARENCE ST APT 5 Lake Charles, LA 70601- 3377218070 (mailing address contact number - 3377218070).
A person employed to operate a motor vehicle as a carrier of persons or property.

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FAQs:

What is the NPI Number for Mr. Michael Dwayne Clark ?


Answer: The NPI Number for Mr. Michael Dwayne Clark is 1063683597

Where is Mr. Michael Dwayne Clark located?


Answer: Mr. Michael Dwayne Clark is located at 619 CLARENCE ST APT 5 Lake Charles, LA 70601.

What is the specialty for Mr. Michael Dwayne Clark ?


Answer: The Specialty of Mr. Michael Dwayne Clark is A Driver Physician.

Are there any online reviews for Mr. Michael Dwayne Clark ?


Answer: Not yet!

Are there any other health care providers in Lake Charles, LA?


Answer: Yes, there are given below...

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