Eloise Marie Clark in Thief River Falls - Obstetrics & Gynecology
Eloise Marie Clark - NPI 1912946732
Eloise Marie Clark is a Obstetrics & Gynecology in Thief River Falls, Minnesota. Eloise Marie Clark practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Eloise Marie Clark is 1912946732. The last update date is 2012-01-06.
Eloise Marie Clark's current location address is 1720 Highway 59 S, Thief River Falls, Minnesota. You can contact this provider via phone number 2186814747 and fax number 2186832595. The mailing address for Eloise Marie Clark is 1720 Highway 59 S, Thief River Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eloise Marie Clark |
|---|---|
| Address | 1720 Highway 59 S, Thief River Falls, Minnesota |
| Phone Number | 2186814747 |
| Fax Number | 2186832595 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912946732 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 1720 Highway 59 S |
|---|---|
| City | Thief River Falls |
| State | Minnesota (MN) |
| Post Code | 567014331 |
| Phone Number | 2186814747 |
| Fax Number | 2186832595 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 47488 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25707 | FM | NDBS # | |
| 58453300 | MN | -- | |
| 13554 | MN | -- | |
| 43201 | FM | LHS/BANNERHEALTH # | |
| 2364648 | MN | AMERICA'S PPO/ARAZ # | |
| HP53190 | MN | HEALTHPARTNERS # | |
| 137002 | MN | UCARE # | |
| DA9021044062 | MN | PREFERRED ONE # | |
| 704419 | MN | MEDICA # | |
| 300S9CL | MN | MNBS # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eloise Marie Clark?
The Eloise Marie Clark has been issued the NPI (National Provider Identifier) 1912946732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Eloise Marie Clark's facilities are situated?
The facilities of Eloise Marie Clark are physically located at the following address: 1720 Highway 59 S, Thief River Falls, MN, 567014331.
What is Eloise Marie Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eloise Marie Clark's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.
When did Eloise Marie Clark receive its 1912946732 assignment?
The Eloise Marie Clark was assigned its 1912946732 on 2006-06-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Eloise Marie Clark most recently updated or refreshed?
The details pertaining to the Eloise Marie Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-06.