Diane A. Clark, CD

NPI #1568055812 in Beloit, Wisconsin

Provider Information

NPI Number: 1568055812
Entity Type: Individual
Name: Diane A. Clark, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: CD
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: BELOIT CLINIC
Address 2: 1905 E. HUEBBE PARKWAY
City: Beloit
State: Wisconsin
ZIP Code: 53511-1842
Phone: (608) 364-2293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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