Search › Wisconsin › 363AM0700X
Clark Collins, PA-C
NPI 1760449821 · on the registry since 2006
Practice
- Address
- 1504 Madison Ave
Fort Atkinson, WI 53538 - Phone
- (920) 563-7888
- Fax
- (920) 563-7741
- Clinicians at this address
- 54
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AS0400X
363A00000X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-21
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