Search › Indiana › 1041C0700X
Brent Clemenz
NPI 1710003363 · on the registry since 2007
Practice
- Address
- 670 N 36th St
Lafayette, IN 47905 - Phone
- (765) 446-8412
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Indiana