Individual
HEATHER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4092-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467976696
—
WI
Enumeration date
07/31/2017
Last updated
11/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us