Melissa Clark
M.D. | Pediatrics | Female
Melissa Clark, M.D. is a Edina, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Melissa Clark is
6545 France Ave S, Suite 400, Edina, Minnesota - 55435-2131. She can be contacted on phone at
952-920-9191 and fax number 952-920-0232.
Melissa Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Melissa Clark is
1700890688 which was assigned by NPPES on 28 Jul, 2006 and it was last updated on 08 Jul, 2007.
Melissa Clark license number is
43490 for Pediatrics (208000000X) in Minnesota.
Melissa Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Melissa Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Melissa Clark |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Melissa Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6545 France Ave S, Suite 400
Edina, MN, 55435-2131
United States |
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| Phone Number : | 952-920-9191 |
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| Fax Number : | 952-920-0232 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700890688 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melissa Clark are as mentioned. Primary taxonomy code for Melissa Clark, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 43490 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Melissa Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| CP9021031726 | Other | | PREFERRED ONE |
| 1202276 | Other | | MEDICA |
| 390S9CL | Other | MN | BLUE CROSS BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6545 France Ave S, Suite 400
Edina, MN, 55435-2131
United States |
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| Phone Number : | 952-920-9191 |
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| Fax Number : | 952-920-0232 |
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Business Location:
Patients can refer following map for directions to
Melissa Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.