Individual
DR. HOWARD BRENT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING, MINNEAPOLIS, MN 55455
(612) 626-0622
(612) 626-2696
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 609, MINNEAPOLIS, MN 55455
(612) 626-0622
(612) 626-2696
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
33386
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009073
PREFERRED ONE
MN
01
—
101350
UCARE
MN
01
—
11-22542
MEDICA CHOICE
MN
01
—
11-74537
MEDICA PRIMARY
MN
01
—
2T209CL
BCBS
MN
05
—
32008600
—
WI
01
—
768064
ARAZ
MN
05
—
876505700
—
MN
01
—
HP22280
HEALTHPARTNERS
MN
Enumeration date
06/28/2006
Last updated
07/09/2007
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