| Michael Dean Clark, PA-C | |
|
3805b Spring St, Racine, WI 53405-1641 | |
| (262) 687-4201 | |
| Not Available |
| Full Name | Michael Dean Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3805b Spring St, Racine, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033108014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 420-023 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Dean Clark, PA-C 2629 Fox River Pkwy, Waukesha, WI 53189-7876 Ph: (262) 521-1674 | Michael Dean Clark, PA-C 3805b Spring St, Racine, WI 53405-1641 Ph: (262) 687-4201 |
Jennifer Scidmore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Matthew T Czerniak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4479 | |
Mr. Ryan Beine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4201 | |
Leigh Pitts, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Suite 201, Racine, WI 53405 Phone: 262-687-5800 | |
Kylie S Nordness, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3807 Spring St, Racine, WI 53405 Phone: 262-687-8173 Fax: 26-- | |
Mary A Wheeler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 Fax: 262-687-2495 |