Farrah Clark
Farrah Clark is a Specialist in Detroit Lakes, Minnesota. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1104 W River RdDetroit Lakes, MN 56501-2723
Phone: (218) 844-6853
Fax: (866) 226-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1538686167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 24, 2017 |
| Last updated in NPPES | April 4, 2020 |
| Certification date | April 4, 2020 |
| Mailing address | 891 Belsly Blvd, Moorhead, MN 56560-5055 |
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1104 W River Rd, Detroit Lakes, MN 56501-2723 · (218) 844-6853
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1104 W River Rd, Detroit Lakes, MN 56501-2723 · (218) 287-4338