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1104355692
ROSS W CLARK
MADISON, WI
NPI
1104355692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4112-23)
Enumeration Date
2017-06-08
Last Update Date
2021-10-26
Business Address
ROSS W CLARK PA-C
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-260-2900
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Mailing Address
ROSS W CLARK PA-C
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-260-2900
Copy
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