Search › Wisconsin › 122300000X
H. Clark
NPI 1164800801 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2101 Hill Ave
Superior, WI 54880 - Phone
- (715) 392-5161
- Fax
- (715) 392-7474
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin