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Search › Connecticut › 225100000X

Michael Clark

NPI 1528646379 · on the registry since 2021

Practice

Address
84 Oxford Road
Oxford, CT 06478
Phone
(203) 881-0830
Fax
(203) 881-0894
Organisation at this address
Vale Foot And Ankle Surgery, Pllc
Vale Foot And Ankle Surgery, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-01

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 Connecticut