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1821308974
DOUGLAS OWEN CLARK
BROOKFIELD, WI
NPI
1821308974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WI 16533)
Enumeration Date
2010-10-07
Last Update Date
2016-05-19
Business Address
DR. DOUGLAS OWEN CLARK MD
21010 BLACK WALNUT LN A
BROOKFIELD, WI 53045-4062
Phone number: 262-780-0594
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Mailing Address
DR. DOUGLAS OWEN CLARK MD
2418 E BLUEJAY BLUFF LN A
GREEN VALLEY, AZ 85614-5568
Phone number: 414-791-6184
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