-- RICHARD KENNETH CLARK PA-C ⚕️ Wisconsin 1235580903

NPI	1235580903
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	363A00000X Physician Assistant (Licence: WI 3766-23)
Enumeration Date	2016-06-23
Last Update Date	2016-06-23

-- RICHARD KENNETH CLARK PA-C

1630 CHIPPEWA DR

RHINELANDER, WI 54501-9503

Phone number: 715-361-5480

-- RICHARD KENNETH CLARK PA-C

PO BOX 646

WOODRUFF, WI 54568-0646

Phone number: 715-614-0038