Clark, Michael Dean
Clark, Michael Dean is an individual health care provider with primary practice located at 3805B Spring St , Racine WI 53405-1641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Michael Dean can be contacted via phone (262) 687-4201.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 420-023 | Wisconsin |
Profile Details
NPI number | 1033108014 |
---|---|
LBN Legal business name | Clark, Michael Dean |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | May 7th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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