Search › Wisconsin › 1835P0018X
Joe Clark
NPI 1669139309 · on the registry since 2021
Practice
- Address
- 640 E Main St
Sun Prairie, WI 53590 - Phone
- (608) 837-3821
- Organisation at this address
- Roundys Supermarkets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-16
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