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

Michael Clark, MD

Individual provider Family Medicine Physician · NPI 1912903949

Michael Clark, MD is a Family Practice in Wallingford, Connecticut. Graduated from Temple University School of Medicine in 1999, 27 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
27
Trained at
Temple University School of Medicine
Licensed in
CT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

850 N Main Street Ext Blgd 2 Ste C2
Wallingford, CT 06492-2400
Phone: (203) 269-9778
Fax: (203) 949-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41950 (CT)

Record details

NPI number1912903949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2005
Last updated in NPPESJuly 31, 2015
Mailing address850 N Main Street Ext, Blgd 2 Suite C2, Wallingford, CT 06492-2400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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