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Mrs. Kristine J. Clark, OTC
Other Specialist/Technologist in Appleton, Wisconsin
NPI 1073795506

Kristine J. Clark is a Other Specialist/Technologist based in Appleton, WI. Kristine J. Clark practices in Appleton, WI and has the professional credentials of OTC. The NPI Number for Kristine J. Clark is 1073795506 and holds a License No. (Wisconsin).

The current practice location address for Kristine J. Clark is Valley Orthopedic Clinic Sc, Appleton, WI and can be reached out via phone at 920-731-6611 and via fax at 920-731-6732.

Location: Valley Orthopedic Clinic Sc, Appleton, WI, 54913-7862
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Provider Profile Details
NPI Number
1073795506
Provider Name
Kristine J. Clark
Credential
OTC
Provider Entity Type
Individual
Gender
Female
Address
Valley Orthopedic Clinic Sc, Appleton, WI, 54913-7862
Phone Number
920-731-6611
Fax Number
920-731-6732
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06-0813 01 ORTHOPAEDIC TECH-CERT
institution
Provider Business Practice Location Address Details
Address
Valley Orthopedic Clinic Sc
City
State
Zip
54913-7862
Phone Number
920-731-6611
Fax Number
920-731-6732
person
Provider Business Mailing Address Details
Address
Valley Orthopedic Clinic Sc
City
State
Zip
54913-7862
Phone Number
920-731-6611
Fax Number
920-731-6732
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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