Michael Dean Clark in Lawrenceville - Vascular Surgery
Michael Dean Clark - NPI 1528028925
Michael Dean Clark is a Vascular Surgery in Lawrenceville, Georgia. Michael Dean Clark practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Michael Dean Clark is 1528028925. The last update date is 2011-08-23.
Michael Dean Clark's current location address is 1838 American Way, Lawrenceville, Georgia. You can contact this provider via phone number 7709957622 and fax number 7709957854. The mailing address for Michael Dean Clark is 1838 American Way, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dean Clark |
|---|---|
| Address | 1838 American Way, Lawrenceville, Georgia |
| Phone Number | 7709957622 |
| Fax Number | 7709957854 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528028925 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2011-08-23 |
Provider Mailing Address Detail
| Address | 1838 American Way |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300436611 |
| Phone Number | 7709957622 |
| Fax Number | 7709957854 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 22527 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00239368K | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Dean Clark by the Centers for Medicare & Medicaid Services?
The Michael Dean Clark has been issued the NPI (National Provider Identifier) 1528028925, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Dean Clark is physically located?
The Michael Dean Clark is situated at the following address: 1838 American Way, Lawrenceville, GA 300436611.
What is Michael Dean Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Dean Clark is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.
When did Michael Dean Clark receive its 1528028925 assignment?
The Michael Dean Clark was assigned its 1528028925 on 2006-03-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Michael Dean Clark most recently updated or revised?
The information pertaining to Michael Dean Clark, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-23.
NPI Number: 1619974581
Address: Po Box 4908, Oneida, TN