Individual
MS. HEATHER LYNN KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
307 OGDEN AVE, CLINTON CLINIC, CLINTON, WI 53525-9007
(608) 676-2206
(608) 676-4029
Mailing address
1115 EAGLE CT, EDGERTON, WI 53534-8548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002399
IL
363A00000X
Physician Assistant
3201-23
WI
363AM0700X
Medical Physician Assistant
Primary
3201
WI
Other
Enumeration date
04/28/2008
Last updated
10/28/2025
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