Timothy Clark, M.D. is a student in an organized health care education training program in Minneapolis, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Timothy Clark, M.D. NPI is 1083096341. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
521 S 7TH ST
APT 502
MINNEAPOLIS, MN
ZIP 55415-620
Phone: (613) 501-3552
The NPI 1083096341 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/23/2015.