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Clark, Edward George

CPSO#: 87888

MEMBER STATUS

Active Member as of 16 Nov 2007

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 16 Nov 2007

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education: Queen's University, 2003

Practice Information

Primary Location of Practice

The Ottawa Hospital
Riverside Campus
Division of Nephrology
1967 prom. Riverside drive
Ottawa ON K1H 7W9
Phone: (613) 738-8400 Ext. 82569
Fax: (613) 738-8337 Electoral District: 07

Additional Practice Location(s)

Cornwall Dialysis Clinic
691 Brookdale Ave
Cornwall ON K6J 5C6
Canada
Phone: 613-937-4555
County: County of Stormont, Dundas and Glengarry
Electoral District: 07

Professional Corporation Information

Corporation Name: E. G. Clark Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Jun 24 2015

Shareholders:
Dr. E. Clark ( CPSO# 87888 )
Dr. A. Baines ( CPSO# 96939 )

Business Address:
The Ottawa Hospital-Riverside Campus
Division of Nephrology
1967 Prom. Riverside Drive
Ottawa ON K1H 7W9
Phone Number: (613) 789-5555

Hospital Privileges

Hospital	Location
Cornwall Community Hospital	Cornwall
Hawkesbury & District General Hospital	Hawkesbury
Ottawa Hospital	Ottawa
Ottawa Hospital,Civic Site	Ottawa
Ottawa Hospital,Riverside Site	Ottawa

Specialties

Specialty	Issued On	Type
Internal Medicine	Effective:30 Jun 2007	RCPSC Specialist
Nephrology	Effective:23 Sep 2009	RCPSC Specialist
Critical Care Medicine	Effective:27 Sep 2010	RCPSC Specialist

Terms and Conditions

(1) Dr. EDWARD GEORGE CLARK may practise only in the areas of medicine in which Dr. CLARK is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Independent Practice Certificate	Effective: 16 Nov 2007