Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EVAN JACOB CLARK, MD
ActiveMR. EVAN JACOB CLARK, MD is a Emergency Medicine healthcare provider located in MOUNT PLEASANT, Wisconsin. NPI 1154819951 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MOUNT PLEASANT, WI
Registration Details
- NPI Number
- 1154819951
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2018 (8.2937522625155 yrs)
- Last Updated
- Apr 13, 2025
- Licenses
-
2021019559 (MO)71908-20 (WI)
Practice Information
- Address
-
13250 WASHINGTON AVEMOUNT PLEASANT, WI, 531771516Browse WI providers · Browse ZIP 53177
- Phone
- 2627998200
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in MOUNT PLEASANT, WI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL G MANSKE | M.D. | 1396775466 |
| DR. ADRIAN KENNETH STULL | M.D. | 1023185360 |
| DR. JOSEPH THOMAS HUMPHREY | M.D. | 1477610434 |
| DR. SUHAS CHANNAPPA | M.D. | 1851604383 |
| DR. MATTHEW JOHN CLARK | M.D. | 1902224231 |
| DR. MARIA GOMEZ | MD | 1982087433 |
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.