MICHAEL B CLARK, MD, Neuroradiology ANNAPOLIS, MD

Contact Information

MICHAEL B CLARK, MD

2002 MEDICAL PKWY
STE 235
ANNAPOLIS, MD 21401-3046

Phone: 410-266-2770
Fax: 410-841-6251
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Neuroradiology	2085N0700X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for MICHAEL B CLARK · (Male)

NPI #	`1538115423`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/25/2006
Last updated	02/27/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	FL License # ME94700 MD License # D0056183 NC License # 200000198 OH License # 35.080358 PA License # MD416976 SC License # 28302 MD Medicaid 017000300 MD Other N899 AAD AA COUNTY MD Other 019419A80 AAD PG COUNTY MD Other 2622593 AETNA HMO/POS MD Other 8317071 AETNA PPO MD Other 10690029 BCBS
Hospital affiliation(s)	ANNE ARUNDEL MEDICAL CENTER - (Acute Care) 2001 MEDICAL PARKWAY ANNAPOLIS, MD 21401 PRINCE GEORGES HOSPITAL CENTER - (Acute Care) 3001 HOSPITAL DRIVE CHEVERLY, MD 20785

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MICHAEL B CLARK, MD – NPI #1538115423Neuroradiology

Contact Information

Specialty

Neuroradiology

Diagnostic Radiology

Vascular & Interventional Radiology

NPI Profile & details for MICHAEL B CLARK · (Male)

Reviews for MICHAEL B CLARK

MICHAEL B CLARK, MD – NPI #1538115423
Neuroradiology