Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN GLENN CLARK
ActiveDR. JOHN GLENN CLARK is a Orthopaedic Surgery healthcare provider located in BATH, Maine. NPI 1164625653 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · BATH, ME
Registration Details
- NPI Number
- 1164625653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2007 (19.190471268132 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
016756 (ME)A60772 (CA)
Practice Information
- Address
-
111 WHISKEAG RDBATH, ME, 045304127Browse ME providers · Browse ZIP 04530
- Phone
- 9094350066
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
- Additional Specialty
- Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.