Individual
THOMAS J E CLARK
Active
Individual
THOMAS J E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
32170
NE
207W00000X
Ophthalmology Physician
Primary
68627
WI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
32120
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144632183
—
WI
Enumeration date
05/26/2014
Last updated
01/23/2026
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