Physician Assistant, Medical
CLARK COLLINS PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1760449821 · enumerated 2006-05-01 · record updated 2018-06-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1504 MADISON AVE, FORT ATKINSON, WI, 53538-3100 (920) 563-7888 Fax (920) 563-7741 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 249, FORT ATKINSON, WI, 53538-0249 (920) 568-5411 Fax (920) 568-4004 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · License 1029-023 WI
- Physician Assistant, Medical 363AM0700X · Primary · License 1029-023 WI
- Physician Assistant 363A00000X · License 1029-023 WI
In this directory
WI Jefferson County Fort Atkinson Physician Assistant, Medical
Locations and evidence
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Practice location
FORT ATKINSON, WI, 535383100
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.