Schumacher, Clark William

Schumacher, Clark William is an individual health care provider with primary practice located at 6500 Excelsior Blvd , St Louis Park MN 55426-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Schumacher, Clark William 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 50965 Minnesota

Profile Details

NPI number 1255374450
LBN Legal business name Schumacher, Clark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 17th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255374450 NPPES
Minnesota MEDICAID 1255374450

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