DR. Michael Jonathan Clark, M.D.

NPI #1619134970 in Venice, Florida

Provider Information

NPI Number: 1619134970
Entity Type: Individual
Name: DR. Michael Jonathan Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: May 22, 2008
Last Updated: Oct 28, 2021

Practice Location

Address: 420 NOKOMIS AVE S
City: Venice
State: Florida
ZIP Code: 34285-2617
Phone: (941) 355-2767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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