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

SHANNON WANG CLARK, MD

Active Sole Proprietor

SHANNON WANG CLARK, MD is a Neurological Surgery healthcare provider located in NORFOLK, Virginia. NPI 1316258569 is currently active in the NPPES registry. Verify at CMS.

Neurological Surgery · NORFOLK, VA

Registration Details

NPI Number
1316258569
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2010 (16.166955404677 yrs)
Last Updated
Oct 5, 2021
Licenses
MT197142 (PA)
0101261902 (VA)
Sole Proprietor
Yes

Practice Information

Address
301 RIVERVIEW AVE STE 202A
NORFOLK, VA, 235101065
Browse VA providers · Browse ZIP 23510
Phone
7572529140
Fax
7577934149
Primary Specialty
Neurological Surgery
207T00000X
Additional Specialty
Neurological Surgery

Other Neurological Surgery Providers in NORFOLK, VA

Name Credential NPI
WILSON PARRISH DAUGHERTY M.D., PH. D. 1023094950
WYLIE HUNG ZHU MD 1083692917
DR. JAMES JOSEPH BRENNAN MD 1447217666
MR. RAN VIJAI PRATAP SINGH MD 1235172396
MR. PAUL BRUCE MITCHELL JR. MD 1053354118
JOSEPH FRANK DILUSTRO M.D. 1245246669
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.