Individual
DR. JOHN LOUIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1VETERANS DRIVE, SURGICAL SERVICE/112, MINNEAPOLIS, MN 55417
(612) 725-2065
(612) 725-2227
Mailing address
1VETERANS DRIVE, SURGICAL SERVICE/112, MINNEAPOLIS, MN 55417
(612) 725-2065
(612) 725-2227
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35619
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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