person
Dr. Michael B Clark, MD
Diagnostic Radiology Physician in Annapolis, Maryland
NPI 1538115423

Michael B Clark is a Diagnostic Radiology Physician based in Annapolis, MD and is specialized in Diagnostic Radiology. Michael B Clark practices in Annapolis, MD and has the professional credentials of MD. The NPI Number for Michael B Clark is 1538115423 and holds a License No. D0056183 (Maryland).

The current practice location address for Michael B Clark is 2002 Medical Pkwy, Annapolis, MD and can be reached out via phone at 410-266-2770 and via fax at 410-841-6251.

Location: 2002 Medical Pkwy, Annapolis, MD, 21401-3046
person
Provider Profile Details
NPI Number
1538115423
Provider Name
Michael B Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2002 Medical Pkwy, Annapolis, MD, 21401-3046
Phone Number
410-266-2770
Fax Number
410-841-6251
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N899 01 MD AAD AA COUNTY
019419A80 01 MD AAD PG COUNTY
2622593 01 MD AETNA HMO/POS
017000300 05 MD
8317071 01 MD AETNA PPO
10690029 01 MD BCBS
institution
Provider Business Practice Location Address Details
Address
2002 Medical Pkwy
City
State
Zip
21401-3046
Phone Number
410-266-2770
Fax Number
410-841-6251
person
Provider Business Mailing Address Details
Address
2002 Medical Pkwy
City
State
Zip
21401-3046
Phone Number
410-266-2770
Fax Number
410-841-6251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
35.080358 (Ohio)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
D0056183 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
D0056183 (Maryland)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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