Individual
MICHELLE J CLARK-FORSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-4311
Mailing address
610 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-4311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61498-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
04/27/2012
Last updated
06/30/2025
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