Eloise Marie Clark, MD | |
1720 Highway 59 S, Thief River Falls, MN 56701-4331 | |
(218) 681-4747 | |
(218) 683-2595 |
Full Name | Eloise Marie Clark |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 1720 Highway 59 S, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912946732 | NPI | - | NPPES |
25707 | Other | FM | NDBS # |
058453300 | Medicaid | MN | |
13554 | Medicaid | MN | |
43201 | Other | FM | LHS/BANNERHEALTH # |
2364648 | Other | MN | AMERICA'S PPO/ARAZ # |
HP53190 | Other | MN | HEALTHPARTNERS # |
137002 | Other | MN | UCARE # |
DA9021044062 | Other | MN | PREFERRED ONE # |
0704419 | Other | MN | MEDICA # |
300S9CL | Other | MN | MNBS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 47488 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Eloise Marie Clark, MD 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747 | Eloise Marie Clark, MD 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747 |
Michael T Bass, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Denise L Mcsherry, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Wendell A Wall, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 |