Individual provider · Type 1 NPI

Farrah Clark

Specialist · Detroit Lakes, MN

NPI number 1538686167 Active

Practice location

1104 W River Rd
Detroit Lakes, MN 56501-2723

Call (218) 844-6853 Map

Fax (866) 226-6130

Mailing address

891 Belsly Blvd
Moorhead, MN 56560-5055

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1538686167

Farrah Clark's National Provider Identifier is 1538686167, issued on Aug 24, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Apr 4, 2020.