Individual
CLARK W. LIKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Mailing address
506 1ST AVE SE, WATERTOWN, SD 57201-4402
(605) 886-8482
(605) 884-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2415
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600964
—
SD
Enumeration date
04/27/2006
Last updated
09/04/2008
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