Individual
LINDSEY NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3811 SPRING ST # 201, MOUNT PLEASANT, WI 53405-1667
(262) 687-5850
Mailing address
3811 SPRING ST # 201, MOUNT PLEASANT, WI 53405-1667
(812) 212-4614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
61458
TN
208600000X
Surgery Physician
Primary
64427-20
WI
Other
Enumeration date
04/02/2014
Last updated
08/05/2024
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