IndividualActive
John Clark, MD
NPI 1174618623 · Surgical Oncology Physician · Minneapolis, MN
Provider details
- NPI number
- 1174618623
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35619 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1veterans Drive, Surgical Service/112
Minneapolis, MN 55417
Phone: (612) 725-2065
Fax: (612) 725-2227
Approximate (ZIP-level) locationGet directions
Mailing address
1veterans Drive, Surgical Service/112
Minneapolis, MN 55417
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.