Dana C Clark
NPI #1487110110 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1487110110
- Entity Type
- Individual
- Name
- Dana C Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 19, 2019
- Last Updated
- Feb 19, 2019
Practice Location
- Address
- 5735 DURAND AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-5011
- Phone
- (262) 598-1392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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