Individual
CLARK OLAVI ANDELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036148618
IL
207V00000X
Obstetrics & Gynecology Physician
2007019019
MO
Other
Enumeration date
06/29/2007
Last updated
01/13/2026
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