Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DEAN CLARK, PA-C
ActiveMICHAEL DEAN CLARK, PA-C is a Physician Assistant healthcare provider located in RACINE, Wisconsin. NPI 1033108014 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RACINE, WI
Registration Details
- NPI Number
- 1033108014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2005 (20.797594063561 yrs)
- Last Updated
- May 7, 2013
- License
-
420-023 (WI)
Practice Information
- Address
-
3805B SPRING STRACINE, WI, 534051641Browse WI providers · Browse ZIP 53405
- Phone
- 2626874201
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| MARY A WHEELER | PA | 1205809753 |
| MR. RYAN BEINE | PA-C | 1104856376 |
| ANGELA WELLS | PA-C | 1407874894 |
| LEIGH PITTS | PA | 1144239948 |
| MS. TERRY G ROMANA | PA-C | 1891802153 |
| MR. DANIEL A TESKA | PA-C | 1417064528 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.