Derek E Clevidence in Madison - Family Medicine

Derek E Clevidence - NPI 1093774135

Derek E Clevidence is a Family Medicine in Madison, Wisconsin. Derek E Clevidence practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derek E Clevidence is 1093774135. The last update date is 2018-05-18.

Derek E Clevidence's current location address is 202 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6084176000. The mailing address for Derek E Clevidence is 202 S Park St, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek E Clevidence
Address 202 S Park St, Madison, Wisconsin
Phone Number 6084176000
Fax Number
Sole Proprietor N
Credentials MD, PHD

NPI Number Detail

NPI Number 1093774135
Provider Enumeration Date 2006-03-18
Last Updated Date 2018-05-18

Provider Mailing Address Detail

Address 202 S Park St
City Madison
State Wisconsin (WI)
Post Code 537151507
Phone Number 6084176000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 42305
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Derek E Clevidence

What is the unique identification code assigned to Derek E Clevidence by the Centers for Medicare & Medicaid Services?

The Derek E Clevidence has been issued the NPI (National Provider Identifier) 1093774135. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Derek E Clevidence located?

The Derek E Clevidence is located at 202 S Park St, Madison, WI 537151507.

What is the Derek E Clevidence's area of specialization and corresponding taxonomy classification?

The Derek E Clevidence's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the Derek E Clevidence's 1093774135 issued?

The Derek E Clevidence's 1093774135 was issued on 2006-03-18.

As of what date was the information pertaining to Derek E Clevidence, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Derek E Clevidence, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-18.

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