Search › Wisconsin › 363A00000X
Jimmy Clark, P.A. - C
NPI 1891164372 · on the registry since 2015
Practice
- Address
- 5512 Spring Tide Way
Madison, WI 53718 - Phone
- (224) 848-0612
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-09
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