Individual
MEAGHAN ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1465
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
100833-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
09/27/2024
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