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DR. JOHN LOUIS CLARK MD
NPI 1174618623
Surgery - Surgical Oncology in Minneapolis, MN

Active since October 03, 2006
1VETERANS DRIVE, SURGICAL SERVICE/112, MINNEAPOLIS, MN 55417(612) 725-2065(612) 725-2227 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Louis Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN LOUIS CLARK MD (NPI 1174618623) is an individual surgical oncology provider in Minneapolis, Minnesota, licensed in Minnesota (35619) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174618623
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JOHN LOUIS CLARKCredential: MD
Location Address1VETERANS DRIVE, SURGICAL SERVICE/112Minneapolis, MN 55417
Mailing Address1veterans Drive, Surgical Service/112Minneapolis, MN 55417 · (612) 725-2065 · Fax (612) 725-2227
Phone(612) 725-2065
Fax(612) 725-2227
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174618623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in MN · 35619
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1VETERANS DRIVE, SURGICAL SERVICE/112, Minneapolis, MN 55417
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Clark's NPI number?

The NPI number for John Clark is 1174618623. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Clark located?

John Clark practices at 1veterans Drive, Surgical Service/112, Minneapolis, MN 55417. The listed phone number is (612) 725-2065.

What is John Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.