Individual
DAVID J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9120 W LOOMIS RD, SUITE 100, FRANKLIN, WI 53132-9083
(262) 939-9318
(608) 756-8617
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
50519-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34910900
—
WI
Enumeration date
12/13/2006
Last updated
06/05/2025
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