Doctor profile · Federal record
Dr. Michael Clark, CRNP
Nurse Practitioner · Philadelphia, PA
- NPI 1366547515
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Spruce St, Ground Silverstein
Philadelphia, PA 191044206
(215) 662-6963 - Mailing address
-
3624 Market St, Suite 560W
Philadelphia, PA 191042614
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- May 9, 2012
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Pennsylvania #SP00179H
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366547515. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $22.30 |
By nature of payment
Frequently asked questions
What is Dr. Michael Clark's medical specialty?
Dr. Michael Clark practices Nurse Practitioner in Philadelphia, PA.
Where does Dr. Michael Clark practice?
Dr. Michael Clark practices at 3400 Spruce St, Philadelphia, PA 191044206. Office phone: 2156626963.
What is Dr. Michael Clark's NPI?
Dr. Michael Clark's National Provider Identifier (NPI) is 1366547515, issued by NPPES.