IndividualActive
David Clark, M.D.
NPI 1679522924 · Gastroenterology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1679522924
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01037790 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11104 Parkview Circle Dr
Suite 310
Fort Wayne, IN 46845-1672
Phone: (260) 266-5230
Fax: (260) 266-5238
Approximate (ZIP-level) locationGet directions
Mailing address
1234 E Dupont Rd
Fort Wayne, IN 46825-1545
Registry dates
- Enumerated
- 2006-05-06
- Last updated
- 2013-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.