Individual
DANIEL M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4333 S LOWES CREEK RD, EAU CLAIRE, WI 54701-7405
(715) 835-7675
Mailing address
4333 S LOWES CREEK RD, EAU CLAIRE, WI 54701-7405
(715) 835-7675
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18591
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31064800
—
WI
Enumeration date
05/09/2006
Last updated
02/17/2010
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