Individual
MISS DANIELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.I.S.
Contact information
Practice address
611D JEFFERSON ST, STURGEON BAY, WI 54235-2146
(920) 743-4900
Mailing address
611D JEFFERSON ST, STURGEON BAY, WI 54235-2146
(920) 743-4900
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1417-60
WI
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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