Clark-Forsting, Michelle J

Clark-Forsting, Michelle J is an individual health care provider with primary practice located at 610 W Adams St , Black River Falls WI 54615-9010. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Clark-Forsting, Michelle J can be contacted via phone (715) 284-4311.

Contact Information

Primary practice address
610 W Adams St Black River Falls WI 54615-9010
Phone: (715) 284-4311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 61498-20 Wisconsin

Profile Details

NPI number 1093073975
LBN Legal business name Clark-Forsting, Michelle J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Oct 23rd, 2015 - about 10 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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