Teralynn S Clark, MD | |
1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 | |
(605) 882-0432 | |
(605) 882-0978 |
Full Name | Teralynn S Clark |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1201 Mickelson Dr Ste 2, Watertown, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699789263 | NPI | - | NPPES |
0007400 | Other | SD | BCBS |
235822100 | Medicaid | MN | |
5707122 | Medicaid | SD | |
59F05CL | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4316 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Teralynn S Clark, MD 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 Ph: (605) 882-0432 | Teralynn S Clark, MD 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 Ph: (605) 882-0432 |
Jeffrey O Bergsbaken, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 Fax: 605-882-7607 | |
Patrick L Retterath, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1512 4th St Ne, Watertown, SD 57201 Phone: 605-884-0100 | |
Jeffrey W Hanson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7000 |