Clark, Michael Steven

Clark, Michael Steven is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clark, Michael Steven can be contacted via phone (952) 993-5000.

Contact Information

Primary practice address
6500 Excelsior Blvd St Louis Park MN 55426-4702
Phone: (952) 993-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 59352 Minnesota
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 59352 Minnesota

Profile Details

NPI number 1659784031
LBN Legal business name Clark, Michael Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Jun 18th, 2020 - about 5 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.

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