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Search › Wisconsin › Family Medicine Physician

Dwayne Clark, MD

NPI 1184695975 · on the registry since 2006

Practice

Address
723 Park Ridge Ln
N Fond Du Lac, WI 54937
Phone
(920) 926-8600
Fax
(920) 926-8650
Organisation at this address
Agnesian Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin