Search › Wisconsin › 207V00000X
Douglas Clark, MD
NPI 1821308974 · on the registry since 2010 · sole proprietor
Practice
- Address
- 21010 Black Walnut Ln
A
Brookfield, WI 53045 - Phone
- (262) 780-0594
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-19
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