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

Timothy Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083096341

Timothy Clark, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
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

521 S 7th St Apt 502
Minneapolis, MN 55415-1620
Phone: (613) 501-3552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083096341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESJune 23, 2015
Mailing address521 S 7th St, Apt 502, Minneapolis, MN 55415-1620

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