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Contact Information

DAVID J CLARK
2200 UNIVERSITY AVE W
#114
SAINT PAUL, MN55114-1839
 Phone: 651-644-5800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for DAVID J CLARK · (Male)

NPI Number 1205043528
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1175
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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