DR. Dwayne Charles Clark MD

  • NPI 1184695975
According to our database, the NPI number for DR. Dwayne Charles Clark MD is 1184695975 and activated since 18 years ago. DR. Dwayne Charles Clark MD is an individual provider who specializes in Family Medicine, and the primary practice location is 723 Park Ridge Ln, N Fond Du Lac, WI 54937. You can also contact DR. Dwayne Charles Clark MD via telephone number is (920) 926-8600. Provider NPI information was last updated on 10/28/2020.

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Overview of DR. Dwayne Charles Clark MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/30/2006
  • Last updated: 10/28/2020

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 48855
  • License State: WI

Provider Mailing Address

  • Address: 420 E Division St
    Fond Du Lac, WI 54935
  • Phone: 920-926-8340
  • Fax: 920-926-8370

Provider Practice Location

  • Address: 723 Park Ridge Ln
    N Fond Du Lac, WI 54937
  • Phone: 920-926-8600
  • Fax: 920-926-8650

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 48855
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: P00319962
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: RAILROAD MEDICARE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Dwayne Charles Clark MD?
  • A: The npi number for DR. Dwayne Charles Clark MD is 1184695975.
  • Q: What are DR. Dwayne Charles Clark MD's specialties?
  • A: DR. Dwayne Charles Clark MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for DR. Dwayne Charles Clark MD?
  • A: The medical license number for DR. Dwayne Charles Clark MD is 48855 and issued in WI in USA.
  • Q: Where is DR. Dwayne Charles Clark MD practice location?
  • A: DR. Dwayne Charles Clark MD is practicing at 723 Park Ridge Ln, N Fond Du Lac, WI 54937.
  • Q: How to contact DR. Dwayne Charles Clark MD?
  • A: You can contact DR. Dwayne Charles Clark MD via 920-926-8600.