Individual
ELIZABETH F CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, PA-C
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(507) 450-6906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3925-23
WI
Other
Enumeration date
08/31/2016
Last updated
10/06/2025
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