Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW THOMAS CLANCY, M.D.
Active Sole ProprietorMATTHEW THOMAS CLANCY, M.D. is a 2083P0011X healthcare provider located in WAUSAU, Wisconsin. NPI 1639180961 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · WAUSAU, WI
Registration Details
- NPI Number
- 1639180961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (20.041547086189 yrs)
- Last Updated
- Apr 7, 2017
- License
-
41861-020 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 PINE RIDGE BLVDSUITE 317WAUSAU, WI, 544014102Browse WI providers · Browse ZIP 54401
- Phone
- 7158472837
- Fax
- 7158472614
- Primary Specialty
-
2083P0011X
2083P0011X
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.