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Douglas Clark
NPI 1760735328 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9750 Highway 70
Minocqua, WI 54548 - Phone
- (715) 356-9449
- Fax
- (715) 356-0011
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-19
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin