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Mark W De Clute, MD
Diagnostic Radiology Physician in Wausau, Wisconsin
NPI 1417057142

Mark W De Clute is a Diagnostic Radiology Physician based in Marshfield, WI and is specialized in Diagnostic Radiology. Mark W De Clute practices in Wausau, WI and has the professional credentials of MD. The NPI Number for Mark W De Clute is 1417057142 and holds a License No. 36415 (Wisconsin).

The current practice location address for Mark W De Clute is 2727 Plaza Drive, Wausau, WI and can be reached out via phone at 715-847-3000.

Location: 2727 Plaza Drive, Wausau, WI, 54449-5777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417057142
Provider Name
Mark W De Clute
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2727 Plaza Drive, Wausau, WI, 54449-5777
Phone Number
715-847-3000
Fax Number
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32110100 05 WI
institution
Provider Business Practice Location Address Details
Address
2727 Plaza Drive
City
Wausau
State
Wisconsin
Zip
54401
Phone Number
715-847-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2727 Plaza Drive
City
Wausau
State
Wisconsin
Zip
54401
Phone Number
715-847-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
36415 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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