MICHAEL THOMAS CLARK

INDIANAPOLIS, IN
NPI1780147298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: IN  01088048A)
Additional Taxonomies2080H0002X Pediatrics, Hospice and Palliative Medicine
(Licence: OH  35.154087)
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: OH  35.154087)
208000000X Pediatrics
(Licence: OH  35.154087)
Enumeration Date2019-04-11
Last Update Date2026-04-27
Business Address
MICHAEL THOMAS CLARK
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906
Mailing Address
MICHAEL THOMAS CLARK
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-8906