Individual
JAMES RICHARD CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
(920) 436-1332
Mailing address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38955
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32338300
—
WI
Enumeration date
07/14/2006
Last updated
12/06/2018
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