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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLARK A COLLINS, PA-C

Active

CLARK A COLLINS, PA-C is a Medical Physician Assistant healthcare provider located in FORT ATKINSON, Wisconsin. NPI 1760449821 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FORT ATKINSON, WI

Registration Details

NPI Number
1760449821
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2006 (20.288697990669 yrs)
Last Updated
Jun 21, 2018
Licenses
1029-023 (WI)
1029-023 (WI)
1029-023 (WI)

Practice Information

Address
1504 MADISON AVE
FORT ATKINSON, WI, 535383100
Browse WI providers · Browse ZIP 53538
Phone
9205637888
Fax
9205637741
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Medical Physician Assistant Providers in FORT ATKINSON, WI

Name Credential NPI
BETSY MARTIN DEVINE PA C 1548238686
KELLY RAE TOIJALA PA 1013171727
BREAH KLEMP PA-C 1710338694
NICOLE LEE LANKEY PA 1528644036
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.