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Contact Information

MATTHEW T CLANCY, MD
333 PINE RIDGE BLVD
SUITE 317
WAUSAU, WI54401-4102
 Phone: 715-847-2837
 Fax: 715-847-2614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW T CLANCY · (Male)

NPI Number 1639180961
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 04/07/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 41861-020
Hospital affiliation(s)
  • ASPIRUS WAUSAU HOSPITAL - (Acute Care)
    333 PINE RIDGE BLVD
    WAUSAU, WI 54401
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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