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Dr. Meredith Carter Clubb, MD
Urology Physician in Kenosha, Wisconsin
NPI 1134150386

Meredith Carter Clubb is a Urology Physician based in Kenosha, WI. Meredith Carter Clubb practices in Kenosha, WI and has the professional credentials of MD. The NPI Number for Meredith Carter Clubb is 1134150386 and holds a License No. 0021639 (Wisconsin).

The current practice location address for Meredith Carter Clubb is 6308 8Th Ave, Kenosha, WI and can be reached out via phone at 262-656-8213 and via fax at 262-656-8233. You can also correspond with Meredith Carter Clubb through the mailing address at 6308 8TH AVE, KENOSHA, WI - 53143-5031 (mailing address contact number: 262-656-8213).

Location: 6308 8Th Ave, Kenosha, WI, 53143-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134150386
Provider Name
Meredith Carter Clubb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6308 8Th Ave, Kenosha, WI, 53143-5031
Phone Number
262-656-8213
Fax Number
262-656-8233
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-8213
Fax Number
262-656-8233
person
Provider Business Mailing Address Details
Address
6308 8Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-5031
Phone Number
262-656-8213
Fax Number
262-656-8233
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
0021639 (Wisconsin)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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