Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON CHARLES WARREN, M.D.
ActiveCLINTON CHARLES WARREN, M.D. is a Sports Medicine (Emergency) healthcare provider located in KENOSHA, Wisconsin. NPI 1902162076 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · KENOSHA, WI
Registration Details
- NPI Number
- 1902162076
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2012 (14.399981235638 yrs)
- Last Updated
- Aug 10, 2022
- License
-
61666-20 (WI)
Practice Information
- Address
-
5017 GREEN BAY RD STE 148KENOSHA, WI, 531441782Browse WI providers · Browse ZIP 53144
- Phone
- 2624205888
- Fax
- 2624205888
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
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.