| Dr Michael L Clark, MD | |
|
715 S Taft Ave, Fremont, OH 43420-3200 | |
| (419) 334-6624 | |
| (419) 334-6602 |
| Full Name | Dr Michael L Clark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 715 S Taft Ave, Fremont, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376579482 | NPI | - | NPPES |
| 0324929 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 35040176 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Clark, MD 2007 Scottwood Ave, Toledo, OH 43620-1638 Ph: (419) 334-6624 | Dr Michael L Clark, MD 715 S Taft Ave, Fremont, OH 43420-3200 Ph: (419) 334-6624 |
Dr. William Estes Hogan Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6639 Fax: 419-333-2793 | |
Dr. Sanjay Sangal, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-334-6624 Fax: 419-334-6602 | |
Dr. James Stierwalt, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 715 S Taft Ave, Fremont, OH 43420 Phone: 419-332-7321 |