Individual
CLIFFORD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 DEMING WAY STE 240, MIDDLETON, WI 53562-5527
(608) 821-4020
(608) 821-4040
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
38474-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407899545
—
WI
Enumeration date
06/14/2006
Last updated
11/30/2020
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