Individual provider · Type 1 NPI
Beau D. Clemmensen, PA
Medical Physician Assistant · La Crosse, WI
NPI number
1184480055
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 8859-23 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1184480055
Beau D. Clemmensen, PA's National Provider Identifier is 1184480055, issued on Feb 27, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Mar 27, 2026.