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

Mr. Evan Jacob Clark, MD

Individual provider Emergency Medicine Physician · NPI 1154819951

Mr. Evan Jacob Clark, MD is an Emergency Medicine Physician in Mount Pleasant, Wisconsin. Works from 2 locations. Licensed in Missouri and Wisconsin.

Licensed in
MO, WI
In the registry since
2018
Specialties on file
2
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

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone: (262) 799-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Mercy Way, Joplin, MO 64804-4524 — (417) 556-2300

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 71908-20 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2021019559 (MO)

Record details

NPI number1154819951
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 735044, Chicago, IL 60673-5044

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