Jeffrey Clark, M.D.

NPI #1174942353 in Minocqua, Wisconsin

Provider Information

NPI Number: 1174942353
Entity Type: Individual
Name: Jeffrey Clark, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 15, 2014
Last Updated: Oct 20, 2020

Practice Location

Address: 9576 HWY 70
Address 2: DEPARTMENT OF PEDIATRICS
City: Minocqua
State: Wisconsin
ZIP Code: 54548
Phone: (715) 358-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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