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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609571421

Chelsie Imani Clark, MD is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

749 University Row Ste 200
Madison, WI 53705-1465
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609571421
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address749 University Row Ste 200, Madison, WI 53705-1465

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