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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS OWEN CLARK, MD

Active Sole Proprietor

DR. DOUGLAS OWEN CLARK, MD is a Obstetrics & Gynecology healthcare provider located in BROOKFIELD, Wisconsin. NPI 1821308974 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · BROOKFIELD, WI

Registration Details

NPI Number
1821308974
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2010 (15.893072859302 yrs)
Last Updated
May 19, 2016
License
16533 (WI)
Sole Proprietor
Yes

Practice Information

Address
21010 BLACK WALNUT LN
A
BROOKFIELD, WI, 530454062
Browse WI providers · Browse ZIP 53045
Phone
2627800594
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in BROOKFIELD, WI

Name Credential NPI
ROSEANN GUMINA M.D. 1295728681
JOSEPH HERZOG M.D. 1508859901
JOANNE METOFF M.D. 1700879111
DR. JAMES ANDREW STADLER II MD 1376515007
DR. ALBERT DAVID PENNEY M.D. 1083680847
JACQUELYN MARIE PAYKEL M.D. 1558330654
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.