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Michael Clark, RPH
NPI 1386920239 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1979 Lime Kiln Rd
Green Bay, WI 54311 - Phone
- (920) 288-0638
- Fax
- (920) 288-0645
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-24
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 Wisconsin