JIMMY CLARK

MADISON, WI
NPI1891164372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  3614)
Enumeration Date2015-09-15
Last Update Date2026-06-09
Business Address
JIMMY CLARK P.A. - C
5512 SPRING TIDE WAY
MADISON, WI 53718-9125
Phone number: 224-848-0612
Mailing Address
JIMMY CLARK P.A. - C
5512 SPRING TIDE WAY
MADISON, WI 53718-9125
Phone number:
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