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Contact Information

JAMES R CLEMENS, MD
1821 S WEBSTER AVE
GREEN BAY, WI54301-2253
 Phone: 920-496-4700
 Fax: 920-436-1332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JAMES R CLEMENS · (Male)

NPI Number 1871519900
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2006
Last updated 12/06/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 38955
  • WI Medicaid 32338300
Hospital affiliation(s)
  • ST MARYS HSPTL MED CTR - (Acute Care)
    1726 SHAWANO AVE
    GREEN BAY, WI 54303
  • ST VINCENT HSPTL - (Acute Care)
    835 S VAN BUREN ST
    GREEN BAY, WI 54301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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