Melissa Clark is a Pediatrics in Edina, Minnesota. Melissa Clark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa Clark is 1700890688. The last update date is 2007-07-08.
Melissa Clark's current location address is 6545 France Ave S, Edina, Minnesota. You can contact this provider via phone number 9529209191 and fax number 9529200232. The mailing address for Melissa Clark is 6545 France Ave S, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Clark |
|---|---|
| Address | 6545 France Ave S, Edina, Minnesota |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700890688 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6545 France Ave S |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554352131 |
| Phone Number | 9529209191 |
| Fax Number | 9529200232 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 43490 |
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Definition: A pediatrician 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1202276 | MEDICA | ||
| CP9021031726 | PREFERRED ONE | ||
| 390S9CL | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Melissa Clark by the Centers for Medicare & Medicaid Services?
The Melissa Clark has been issued the NPI (National Provider Identifier) 1700890688 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Melissa Clark's physical address?
The Melissa Clark is physically located at 6545 France Ave S, in the city of Edina, MN, with the postal code 554352131.
What is the area of specialization for Melissa Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melissa Clark is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did Melissa Clark receive its 1700890688 assignment from the Centers for Medicare & Medicaid Services?
The Melissa Clark was assigned its 1700890688 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Melissa Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melissa Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.