Individual
MATTHEW THOMAS CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 PINE RIDGE BLVD, SUITE 317, WAUSAU, WI 54401-4102
(715) 847-2837
(715) 847-2614
Mailing address
8001 WOODBINE LN, WAUSAU, WI 54401-8467
(715) 355-6031
(715) 847-2614
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
41861-020
WI
Other
Enumeration date
08/11/2006
Last updated
04/07/2017
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