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Eloise Marie Clark, MD
Obstetrics & Gynecology Physician in Thief River Falls, Minnesota
NPI 1912946732

Eloise Marie Clark is a Obstetrics & Gynecology Physician based in Thief River Falls, MN. Eloise Marie Clark practices in Thief River Falls, MN and has the professional credentials of MD. The NPI Number for Eloise Marie Clark is 1912946732 and holds a License No. 47488 (Minnesota).

The current practice location address for Eloise Marie Clark is 1720 Highway 59 S, Thief River Falls, MN and can be reached out via phone at 218-681-4747 and via fax at 218-683-2595.

Location: 1720 Highway 59 S, Thief River Falls, MN, 56701-4331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912946732
Provider Name
Eloise Marie Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1720 Highway 59 S, Thief River Falls, MN, 56701-4331
Phone Number
218-681-4747
Fax Number
218-683-2595
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25707 01 FM NDBS #
058453300 05 MN
13554 05 MN
43201 01 FM LHS/BANNERHEALTH #
2364648 01 MN AMERICA'S PPO/ARAZ #
HP53190 01 MN HEALTHPARTNERS #
137002 01 MN UCARE #
DA9021044062 01 MN PREFERRED ONE #
0704419 01 MN MEDICA #
300S9CL 01 MN MNBS #
institution
Provider Business Practice Location Address Details
Address
1720 Highway 59 S
City
Thief River Falls
State
Minnesota
Zip
56701-4331
Phone Number
218-681-4747
Fax Number
218-683-2595
person
Provider Business Mailing Address Details
Address
1720 Highway 59 S
City
Thief River Falls
State
Minnesota
Zip
56701-4331
Phone Number
218-681-4747
Fax Number
218-683-2595
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
47488 (Minnesota)
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 a primary physician for women.
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