IndividualActive
Gwendolyn Clark, MD
NPI 1740966514 · Surgery Physician · Omaha, NE
Provider details
- NPI number
- 1740966514
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9645 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7710 Mercy Road Suite 202
Omaha, NE 68124
Phone: (720) 382-9349
Approximate (ZIP-level) locationGet directions
Mailing address
7710 Mercy Road Suite 202
Omaha, NE 68124
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.