Search › Wisconsin › 101YA0400X
James Clark, CADCIII
NPI 1356365316 · on the registry since 2006
Practice
- Address
- 509 Mcmillen St
Fort Atkinson, WI 53538 - Phone
- (920) 563-7995
- Fax
- (920) 568-6047
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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