Clark, Daniel M

Clark, Daniel M is an individual health care provider with primary practice located at 4333 S Lowes Creek Rd , Eau Claire WI 54701-7405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Clark, Daniel M can be contacted via phone (715) 835-7675.

Contact Information

Primary practice address
4333 S Lowes Creek Rd Eau Claire WI 54701-7405
Phone: (715) 835-7675
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18591 Wisconsin

Profile Details

NPI number 1548219256
LBN Legal business name Clark, Daniel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Feb 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548219256 NPPES
Wisconsin MEDICAID 31064800

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