Individual provider · NPI-1
Claudia F Clark, MD
Internal Medicine · Woodbury, MN
NPI number1366416844
StatusActive
Last updated in NPPESMar 11, 2021
Details
- NPI
- 1366416844
- Entity type
- Individual (NPI-1)
- Name
- Claudia F Clark
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2006
- Certification date
- Mar 11, 2021
- Last updated
- Mar 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 40384 | MN | Yes |
Practice location
8450 Seasons PkwyWoodbury, MN 55125-4402
Phone 651-702-5300 · Fax 651-702-5305
Mailing address
8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
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