Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK E CLEVIDENCE, MD, PHD
ActiveDEREK E CLEVIDENCE, MD, PHD is a Family Medicine healthcare provider located in MONONA, Wisconsin. NPI 1093774135 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MONONA, WI
Registration Details
- NPI Number
- 1093774135
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2006 (20.36813878117 yrs)
- Last Updated
- May 18, 2018
- License
-
42305 (WI)
Practice Information
- Address
-
6408 COPPS AVEMONONA, WI, 537163702Browse WI providers · Browse ZIP 53716
- Phone
- 6084173000
- Fax
- 6084173100
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MONONA, WI
| Name | Credential | NPI |
|---|---|---|
| STANLEY LIVINGSTON | MD | 1619946076 |
| JIE WANG | MD | 1356310601 |
| ANN E EVENSEN | MD | 1801855812 |
| DAVID P RAKEL | MD | 1336109636 |
| JAMES ADAM RINDFLEISCH | MD | 1316908197 |
| MICHAEL DUANE WILLIAMS | MD | 1003850967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.