Clark, Michael Robert

Clark, Michael Robert is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Schofield WI 54476-5220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Clark, Michael Robert can be contacted via phone (715) 393-3723.

Contact Information

Primary practice address
3400 Ministry Pkwy Schofield WI 54476-5220
Phone: (715) 393-3723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 50630 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 50630 Wisconsin

Profile Details

NPI number 1396944237
LBN Legal business name Clark, Michael Robert
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Aug 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396944237 NPPES
Wisconsin MEDICAID 100004191
Wisconsin Other 360450063

Popular Providers