| 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 |