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Contact Information

CLIFFORD J. OPATKEN, M.D., S.C.
791 E SUMMIT AVE
OCONOMOWOC, WI53066-3844
 Phone: 262-569-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CLIFFORD J OPATKEN MD SC · (Female)

NPI Number 1710934328
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 30662700
Hospital affiliation(s) Not Available
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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