National Provider Identifier
Michelle F Clark, RD
Michelle F Clark, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1396958542
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- May 07, 2007
- Last Updated
- February 03, 2010
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1396958542
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Michelle
- Middle Name
- F
- Credential
- RD
- Provider Other Last Name
- Wegryn
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- F.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- May 07, 2007
- Last Updated
- February 03, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)