Individual
DR. ASHLYNNE HARRIS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 10TH ST SE STE 270, C/O PCI MEDICAL PAVILLION, CEDAR RAPIDS, IA 52403-2414
(319) 294-4319
(319) 394-4298
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-42907
IA
207ND0101X
MOHS-Micrographic Surgery Physician
MD-42907
IA
Other
Enumeration date
06/25/2010
Last updated
12/23/2022
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