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Michael Clark
NPI 1972006005 · on the registry since 2018 · sole proprietor
Practice
- Address
- 22629 Twain Harte Dr Ste D
Twain Harte, CA 95383 - Phone
- (209) 586-3225
- Organisation at this address
- Crosby Pharmacy Inc
Dental Practice Of Drs. Mckelvey & Grossman, A Prof. Dental Corp.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 2037 Hwy 4 Ste F, Arnold, CA
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
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 California