Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY JOHANNA CLARK, DO
ActiveDR. MARY JOHANNA CLARK, DO is a Internal Medicine healthcare provider located in LA CROSSE, Wisconsin. NPI 1912917949 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LA CROSSE, WI
Registration Details
- NPI Number
- 1912917949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (20.032321898628 yrs)
- Last Updated
- Oct 16, 2025
- Licenses
-
81803 (WI)29800 (CO)
Practice Information
- Address
-
700 WEST AVE SLA CROSSE, WI, 546018806Browse WI providers · Browse ZIP 54601
- Phone
- 6087850940
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in LA CROSSE, WI
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE D MILLER | MD | 1366445934 |
| JOAN MATEY ROMEYN | MD | 1588667174 |
| DAVID A MOMONT | MD | 1649272964 |
| SHEILA L MOMONT | MD | 1285636506 |
| BRIAN M MULRENNAN | MD | 1073515391 |
| STEVEN B PEARSON | MD | 1356343693 |
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.