Jeffrey J Clark, OD

NPI #1770588022 in Hillsboro, Wisconsin

Provider Information

NPI Number: 1770588022
Entity Type: Individual
Name: Jeffrey J Clark, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 14, 2005
Last Updated: Feb 1, 2016

Practice Location

Address: 845 WATER AVE
City: Hillsboro
State: Wisconsin
ZIP Code: 54634-6213
Phone: (608) 489-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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