Individual
JAMES R CLINKENBEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HIGHWAY 2W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
PO BOX 650, DEVILS LAKE, ND 58301-0650
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5258
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012992
BCBS ID
ND
05
—
054518
—
ND
01
—
260024270
RR MEDICARE
ND
Enumeration date
06/09/2006
Last updated
01/24/2012
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