Healthcare Provider Details

I. General information

NPI: 1790028298
Provider Name (Legal Business Name): CLAYTON MILNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GRAND AVE
SPENCER IA
51301-3501
US

IV. Provider business mailing address

PO BOX 2314
SIOUX CITY IA
51106-0314
US

V. Phone/Fax

Practice location:
  • Phone: 785-393-8223
  • Fax:
Mailing address:
  • Phone: 785-393-8223
  • Fax: 785-393-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-43808
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: