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Jack Clark, M.D
NPI 1346320140 · on the registry since 2006 · sole proprietor
Practice
- Address
- 518 Ems D15 Ln
Syracuse, IN 46567 - Phone
- (574) 457-3292
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana