Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL J CLARK, DO
ActiveMICHAEL J CLARK, DO is a Family Medicine healthcare provider located in THIEF RIVER FALLS, Minnesota. NPI 1215967898 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · THIEF RIVER FALLS, MN
Registration Details
- NPI Number
- 1215967898
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.089415974391 yrs)
- Last Updated
- Mar 25, 2022
- Licenses
-
27254 (MN)5746 (ND)
Practice Information
- Address
-
1720 HIGHWAY 59 STHIEF RIVER FALLS, MN, 567014331Browse MN providers · Browse ZIP 56701
- Phone
- 2186814747
- Fax
- 2186832595
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in THIEF RIVER FALLS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD MAURICE SMITH | M.D. | 1962485714 |
| DR. HUGH BEN COWAN | MD | 1376505115 |
| DUANE C BROWNING | MD | 1528007630 |
| HAZEM M SEDRA | MD | 1669408753 |
| SCOTT W PETRESCUE | MD | 1043302474 |
| CHANDRA S GOTTIPATI | MBBS | 1770635682 |
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.