Michael Clarke, MD
General Acute Care Hospital, Rural in Dillon, MT. Individual provider (NPI-1).
NPI number1497983142
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1497983142
- Entity type
- Individual (NPI-1)
- Name
- Michael Clarke
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2009
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NR1301X | General Acute Care Hospital, Rural | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
600 Mt Highway 91 SDillon, MT 59725-7379
Phone 406-683-9221
Mailing address
212 Schultz LnDillon, MT 59725-8272
Phone 406-925-9202
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