Individual
CLARK WILLIAM STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD, GREEN BAY, WI 54301
(920) 468-3443
(920) 432-6313
Mailing address
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD, GREEN BAY, WI 54301
(920) 468-3443
(920) 432-6313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39553
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32400300
—
WI
Enumeration date
11/02/2006
Last updated
07/08/2007
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