Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DWAYNE CHARLES CLARK, MD
ActiveDR. DWAYNE CHARLES CLARK, MD is a Family Medicine healthcare provider located in N FOND DU LAC, Wisconsin. NPI 1184695975 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · N FOND DU LAC, WI
Registration Details
- NPI Number
- 1184695975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.532385073307 yrs)
- Last Updated
- Oct 28, 2020
- License
-
48855 (WI)
Practice Information
- Address
-
723 PARK RIDGE LNN FOND DU LAC, WI, 549371385Browse WI providers · Browse ZIP 54937
- Phone
- 9209268600
- Fax
- 9209268650
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in N FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| DR. KUMI D SWART | D.O. | 1487763538 |
| DANIEL R JOHNSON | DO | 1801038476 |
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.