Daniel M Clark, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

18591 Issued in WI

Practice address

4333 S Lowes Creek Rd
Eau Claire, WI 54701-7405

Phone

(715) 835-7675

NPI assigned

May 9, 2006

Last updated

Feb 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1548219256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 S LOWES CREEK RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017405",
            "telephone_number": "715-835-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 S LOWES CREEK RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017405",
            "telephone_number": "715-835-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "18591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31064800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Eau Claire
• City of Eau Claire (City of Eau Claire Fire & Rescue Dept)
• Michael T Claessens, MD
• Margaret Clancy
• Amy Elizabeth Clark, RDH
• Mary Beth Clark, SLP
• Clear Water Home Care LLC
• Clear Water Therapy, LLC
• Clearsky Rehabilitation Hospital of Eau Claire LLC
• Clearwater Assisted Living

• Obstetrics & Gynecology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.