Charles E Clark in La Crosse - Family Medicine
Charles E Clark - NPI 1689713018
Charles E Clark is a Family Medicine in La Crosse, Wisconsin. Charles E Clark practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles E Clark is 1689713018. The last update date is 2015-02-03.
Charles E Clark's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Charles E Clark is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles E Clark |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689713018 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2015-02-03 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 96180 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q4886 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles E Clark by the Centers for Medicare & Medicaid Services?
The Charles E Clark has been issued the NPI (National Provider Identifier) 1689713018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles E Clark?
The Charles E Clark is situated at 1836 South Ave, in the city of La Crosse, state of WI, with the zip code 546015429.
What is Charles E Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles E Clark is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When was the Charles E Clark's 1689713018 issued?
The Charles E Clark's 1689713018 was issued on 2007-02-05.
As of what date were the details related to Charles E Clark most recently updated or revised?
The information pertaining to Charles E Clark, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-03.
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