Individual
STACY L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7603
(608) 828-7644
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68690-20
WI
Other
Enumeration date
04/12/2016
Last updated
09/02/2022
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