Individual provider · Type 1 NPI

Leo JP Clark, MD

Neurological Surgery Physician · Maumee, OH

NPI number 1659374007 Active

Practice location

5705 Monclova Rd, Suite 204
Maumee, OH 43537-1875

Call (419) 891-8045 Map

Fax (419) 891-8044

Mailing address

1 Seagate, Suite 800
Toledo, OH 43604-1558

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X35039317C (OH)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1659374007

Leo JP Clark, MD's National Provider Identifier is 1659374007, issued on May 31, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Maumee, OH. The record was last updated on Jan 12, 2016.