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ELOISE MARIE CLARK MD
NPI 1912946732
Obstetrics & Gynecology in Thief River Falls, MN

Active since June 06, 2006
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701(218) 681-4747(218) 683-2595 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eloise Marie Clark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELOISE MARIE CLARK MD (NPI 1912946732) is an individual obstetrics & gynecology provider in Thief River Falls, Minnesota, licensed in Minnesota (47488) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1912946732
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameELOISE MARIE CLARKCredential: MD
Location Address1720 HIGHWAY 59 SThief River Falls, MN 56701-4331
Mailing Address1720 Highway 59 SThief River Falls, MN 56701-4331 · (218) 681-4747 · Fax (218) 683-2595
Phone(218) 681-4747
Fax(218) 683-2595
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJanuary 6, 2012
✔ NPI 1912946732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 47488
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1720 HIGHWAY 59 S, Thief River Falls, MN 56701
Open in Google Maps ↗

Other Identifiers 13

Other300S9CLMN · Mnbs #
Medicare ID-Type Unspecified160002496FM · Mn Medicare #
Other43201FM · Lhs/bannerhealth #
Other137002MN · Ucare #
Medicaid058453300MN
Other0704419MN · Medica #
Medicare PIN160002786MN
OtherDA9021044062MN · Preferred One #
Other25707FM · Ndbs #
Medicaid13554MN
Other2364648MN · America's Ppo/araz #
OtherHP53190MN · Healthpartners #
Medicare UPINH30553MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAKOTA CLINIC, LTD.
Specialist
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4747
KRISTINE A ELLIOTT DC
Chiropractor
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4747
SCOTT W PETRESCUE MD
Family Medicine
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 684-4747
ELIZABETH L JAHN RN, MSN, FNP
Nurse Practitioner
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4747
KENT A TRONTVET CRNA
Nurse Anesthetist, Certified Registered
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4747
MARK E YUSKA DPM
Podiatrist (Foot & Ankle Surgery)
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4747
CAMMY L BAHNER MS-CCC-A
Audiologist
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 671-4747
SANFORD MEDICAL CENTER FARGO
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eloise Marie Clark's NPI number?

The NPI number for Eloise Marie Clark is 1912946732. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Eloise Marie Clark located?

Eloise Marie Clark practices at 1720 Highway 59 S, Thief River Falls, MN 56701. The listed phone number is (218) 681-4747.

What is Eloise Marie Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Eloise Marie Clark was last updated on January 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.