Dr Michael Robert Clark, MD, MPH | |
3400 Ministry Pkwy, Schofield, WI 54476-5220 | |
(715) 393-3723 | |
Not Available |
Full Name | Dr Michael Robert Clark |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3400 Ministry Pkwy, Schofield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396944237 | NPI | - | NPPES |
100004191 | Medicaid | WI | |
360450063 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 50630 (Wisconsin) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 50630 (Wisconsin) | Secondary |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Entity Name | Aspirus Merrill Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084678 PECOS PAC ID: 0143117556 Enrollment ID: O20040301001179 |
Entity Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
Entity Name | Aspirus Eagle River Hospital & Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
Mailing Address | Practice Location Address |
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Dr Michael Robert Clark, MD, MPH 3400 Ministry Pkwy, Schofield, WI 54476-5220 Ph: (715) 393-3723 | Dr Michael Robert Clark, MD, MPH 3400 Ministry Pkwy, Schofield, WI 54476-5220 Ph: (715) 393-3723 |