Clark, Michael J
Clark, Michael J is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Michael J can be contacted via phone (218) 681-4747.Contact Information
Primary practice address
1720 Highway 59 S
Thief River Falls MN 56701-4331
Phone: (218) 681-4747
Fax: (218) 683-2595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27254 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5746 | North Dakota |
Profile Details
| NPI number | 1215967898 |
|---|---|
| LBN Legal business name | Clark, Michael J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Mar 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215967898 | NPPES |
| Fm | Other | 2441653 | AMERICA'S PPO/ARAZ # |
| Fm | Other | 507S2CL | AMERICA'S PPO/ARAZ # |
| Fm | MEDICAID | 564508500 | AMERICA'S PPO/ARAZ # |
Popular Providers
-
Klossner, Roy Taylor
3001 Sanford Pkwy , Thief River Falls MN 56701 -
Browning, Duane C
1720 Highway 59 S , Thief River Falls MN 56701-4331 -
Brooks, Mark
800 Freeport Ave Nw, Ste 100 , Elk River MN 55330 -
Petrescue, Scott W
1720 Highway 59 S , Thief River Falls MN 56701-4331 -
Rehm, Natalie A
14181 Business Center Dr Nw , Elk River MN 55330-4654 -
Cowan, Hugh Ben
Northwest Medical Center , Thief River Falls MN 56701 -
Sedra, Hazem M
213 Labree Ave N Ste 207 , Thief River Falls MN 56701-2022 -
Joseph, Katherine
3001 Sanford Pkwy , Thief River Falls MN 56701-2700