Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Clinic, SC

Organization Medical Physician Assistant · NPI 1215349196

Prairie Clinic, SC is a Medical Physician Assistant in Sauk City, Wisconsin. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

112 Helen St
Sauk City, WI 53583-1101
Phone: (608) 643-3351
Fax: (608) 643-3621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1215349196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Johnson — Medical Doctor · (608) 643-3351
NPI enumeratedMay 27, 2014
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address112 Helen St, Sauk City, WI 53583-1101

Other providers in Sauk City