Richard Clutson in Beaver Dam - Diagnostic Radiology

Richard Clutson - NPI 1023087319

Richard Clutson is a Diagnostic Radiology in Beaver Dam, Wisconsin. Richard Clutson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Richard Clutson is 1023087319. The last update date is 2008-03-10.

Richard Clutson's current location address is 116 Monroe St, Beaver Dam, Wisconsin. You can contact this provider via phone number 6083598884. The mailing address for Richard Clutson is 116 Monroe St, Beaver Dam, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Clutson
Address 116 Monroe St, Beaver Dam, Wisconsin
Phone Number 6083598884
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1023087319
Provider Enumeration Date 2006-03-17
Last Updated Date 2008-03-10

Provider Mailing Address Detail

Address 116 Monroe St
City Beaver Dam
State Wisconsin (WI)
Post Code 539162437
Phone Number 6083598884
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 34963
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32006600 WI --

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FAQs about Richard Clutson

What is the Richard Clutson's unique identification number?

The Richard Clutson has been assigned the NPI (National Provider Identifier) Number 1023087319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Richard Clutson is physically located?

The Richard Clutson is situated at the following address: 116 Monroe St, Beaver Dam, WI 539162437.

What is Richard Clutson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Clutson is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1023087319 to Richard Clutson?

The Centers for Medicare & Medicaid Services assigned the 1023087319 to Richard Clutson on 2006-03-17.

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

The information related to Richard Clutson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-10.

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