National Provider Identifier Database

CALLISIA CLARKE, MD – NPI #1275752578
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.


Contact Information

CALLISIA CLARKE, MD
9200 W WISCONSIN AVE
SURGICAL ONCOLOGY
MILWAUKEE, WI53226-3522
Phone: 414-805-5020
Fax: 414-805-5771
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for CALLISIA CLARKE

NPI Number 1275752578
Credentials MD
Entity Individual
Enumeration date 04/25/2007
Last updated 12/12/2016 - About 9 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 57012026
  • TX License #: P5611
  • WI License #: 66205
  • TX Medicaid: 320489301
  • TX Other: 8DT082 BCBS
Hospital affiliation n/a

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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