Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Clark

Individual provider Contractor · NPI 1477102903

Michael Clark is a Contractor in Indianapolis, Indiana. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2346 S Lynhurst Dr Ste 200
Indianapolis, IN 46241-5135
Phone: (317) 502-1456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1477102903
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2019
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021
Mailing address2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135

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