MICHAEL C CLARK

BAYSIDE ORTHOPEDIC AND REHABILITATION CENTER PC

Dr MICHAEL C CLARK is a male medical professional, specializing in Physical Therapy. He graduated in 1996.

Contact

BAYSIDE ORTHOPEDIC AND REHABILITATION CENTER PC

1622 N MCKENZIE ST
FOLEY
AL
365352248

Tel: 2519702007

MICHAEL C CLARK Information

Npi 1336147289
Pac Id 4082702782
Professional Enrollment Id I20071114000001
Last Name CLARK
First Name MICHAEL
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1996
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BAYSIDE ORTHOPEDIC AND REHABILITATION CENTER PC
Group Practice Pac Id 3779561410
Number Of Group Practice Members 14
Line 1 Street Address 1622 N MCKENZIE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FOLEY
State AL
Zip Code 365352248
Phone Number 2519702007
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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