Richard Kenneth Clark, PA-C
NPI #1235580903 in Rhinelander, Wisconsin
Provider Information
- NPI Number
- 1235580903
- Entity Type
- Individual
- Name
- Richard Kenneth Clark, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 23, 2016
- Last Updated
- Jun 23, 2016
Practice Location
- Address
- 1630 CHIPPEWA DR
- City
- Rhinelander
- State
- Wisconsin
- ZIP Code
- 54501-9503
- Phone
- (715) 361-5480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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