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

Dr. Mary Johanna Clark, DO

Individual provider Internal Medicine Physician · NPI 1912917949

Dr. Mary Johanna Clark, DO is an Internal Medicine in LA Crosse, Wisconsin. Qualified in 1987, 39 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Wisconsin.

Years since qualifying
39
Licensed in
CO, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-8806
Phone: (608) 785-0940
Show map & directions

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

Additional practice locations (1)

  • 2121 North Ave, Grand Junction, CO 81501-6428 — (970) 242-0731

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 81803 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 29800 (CO)

Record details

NPI number1912917949
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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