Individual provider · Type 1 NPI

Timothy Clark, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1083096341 Active

Practice location

521 S 7th St, Apt 502
Minneapolis, MN 55415-1620

Call (613) 501-3552 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1083096341

Timothy Clark, MD's National Provider Identifier is 1083096341, issued on Jun 23, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 23, 2015.