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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL CLARK

Active Sole Proprietor

MICHAEL CLARK is a Athletic Trainer healthcare provider located in AUBURN, New York. NPI 1184163982 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · AUBURN, NY

Registration Details

NPI Number
1184163982
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2017 (9.5156152987168 yrs)
Last Updated
Feb 14, 2017
Sole Proprietor
Yes

Practice Information

Address
19 SECOND AVE
AUBURN, NY, 130215113
Browse NY providers · Browse ZIP 13021
Phone
3152465078
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in AUBURN, NY

Name Credential NPI
KIERAN SCANLAN 1316624711
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.