RICHARD KENNETH CLARK

RHINELANDER, WI
NPI1235580903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3766-23)
Enumeration Date2016-06-23
Last Update Date2016-06-23
Business Address
RICHARD KENNETH CLARK PA-C
1630 CHIPPEWA DR
RHINELANDER, WI 54501-9503
Phone number: 715-361-5480
Mailing Address
RICHARD KENNETH CLARK PA-C
PO BOX 646
WOODRUFF, WI 54568-0646
Phone number: 715-614-0038