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Dr. David W Clark, M.D.

Internal Medicine, Gastroenterology in Fort Wayne, IN. Individual provider (NPI-1).

NPI number1679522924
StatusActive
Last updated in NPPESOct 10, 2013

Details

NPI
1679522924
Entity type
Individual (NPI-1)
Name
Dr. David W Clark
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 6, 2006
Last updated
Oct 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology01037790INYes

Practice location

11104 Parkview Circle Dr
Suite 310
Fort Wayne, IN 46845-1672

Phone 260-266-5230 · Fax 260-266-5238

Mailing address

1234 E Dupont Rd
Suite 1
Fort Wayne, IN 46825-1545

Phone 260-373-9965 · Fax 260-458-5664

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