Robert G. Clark, MD

Psychiatry & Neurology, Psychiatry in La Crosse, WI. Individual provider (NPI-1).

NPI number1245304823

StatusActive

Last updated in NPPESJun 19, 2019

Details

NPI: 1245304823
Entity type: Individual (NPI-1)
Name: Robert G. Clark
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Nov 17, 2006
Last updated: Jun 19, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084P0800X	Psychiatry & Neurology, Psychiatry	46554-020	WI	Yes
2084P0800X	Psychiatry & Neurology, Psychiatry	DR.0026595	CO
2084P0800X	Psychiatry & Neurology, Psychiatry	04-18360	KS
2084P0800X	Psychiatry & Neurology, Psychiatry	23448	IA
2084P0800X	Psychiatry & Neurology, Psychiatry	52187	AZ

Practice location

1836 South Ave
La Crosse, WI 54601

Phone 608-782-7300

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Phone 608-782-7300

Other practice locations

9455 W Watertown Plank Rd
Milwaukee, WI 53226

Phone 414-257-6995

875 W Moreno Ave
Colorado Springs, CO 80905-1731

Phone 719-572-6100

Is something wrong?

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