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

Michael Steven Clark, MD

Individual provider Diagnostic Radiology Physician · NPI 1659784031

Michael Steven Clark, MD is a Diagnostic Radiology in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2014
Specialties on file
2
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

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-5000
Show map & directions

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

Additional practice locations (2)

  • 8100 Northland Dr, Bloomington, MN 55431-4800 — (952) 831-8742
  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 59352 (MN)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 59352 (MN)

Record details

NPI number1659784031
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address6500 Excelsior Blvd, St Louis Park, MN 55426-4702

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

Other providers in St Louis Park