DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEREK E CLEVIDENCE MD, PHD

MEDICARE: DEREK E CLEVIDENCE MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician42305WI

General Provider Information

NPI Number : 1093774135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK E CLEVIDENCE MD, PHD
Provider Business Mailing Address
First Line : 202 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1507
Country : US
Telephone Number : 608-417-6000
Fax Number :
Provider Business Practice Location Address
First Line : 6408 COPPS AVE
Second Line :
City : MONONA
State : WI
Zip : 53716-3702
Country : US
Telephone Number : 608-417-3000
Fax Number : 608-417-3100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2006
Last Update Date : 05/18/2018

Similar Medicare Providers

1619157161 — DR. MICHAEL HEALY MCDONALD M.D.
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-3000
Practice Fax:
1184619231 — MELISSA S GRIMM MD
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-3000
Practice Fax: 608-417-3100
1215909403 — MARGARET K BYFIELD PHD
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-6175
Practice Fax:
1073585568 — JOANNE LIN SNOW MD
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-6175
Practice Fax: 608-417-6687
1487603247 — DR. JEREMY D. BUFFORD M.D.
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-3000
Practice Fax:
1992742290 — JUDSON A WONG PT
Practice Location Address:
6408 COPPS AVE
MONONA, WI
53716-3702
Practice Phone: 608-417-3131
Practice Fax:

Directions to “ DEREK E CLEVIDENCE MD, PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.