NPI 1366471005
John L Clark, MD
Practice location
- Address
- 5 Perryridge Rd, Greenwich, CT 06830-4608
- Phone
- (203) 661-5330
- Mailing address
- 255 W Michigan Ave, Jackson, MI 49201-2218
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1366471005
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jul 2006
- Record last updated
- 31 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.