Mark W De Clute in Wausau - Diagnostic Radiology
Mark W De Clute - NPI 1417057142
Mark W De Clute is a Diagnostic Radiology in Wausau, Wisconsin. Mark W De Clute practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark W De Clute is 1417057142. The last update date is 2007-07-08.
Mark W De Clute's current location address is 2727 Plaza Drive, Wausau, Wisconsin. You can contact this provider via phone number 7158473000. The mailing address for Mark W De Clute is 2727 Plaza Drive, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark W De Clute |
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Address | 2727 Plaza Drive, Wausau, Wisconsin |
Phone Number | 7158473000 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1417057142 |
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Provider Enumeration Date | 2006-09-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2727 Plaza Drive |
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City | Wausau |
State | Wisconsin (WI) |
Post Code | 54401 |
Phone Number | 7158473000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 36415 |
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 |
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32110100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark W De Clute by the Centers for Medicare & Medicaid Services?
The Mark W De Clute has been issued the NPI (National Provider Identifier) 1417057142 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark W De Clute?
The Mark W De Clute is physically situated at 2727 Plaza Drive, in the city of Wausau, state of WI, with the postal code 54401.
What is Mark W De Clute's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark W De Clute is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417057142 to Mark W De Clute?
The Centers for Medicare & Medicaid Services originally issued the 1417057142 to Mark W De Clute on 2006-09-23.
When was the information regarding Mark W De Clute most recently updated?
The details pertaining to the Mark W De Clute, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY