Individual
CHARLES CLEMMENSEN
Active
Individual
CHARLES CLEMMENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3757
NV
207ND0101X
MOHS-Micrographic Surgery Physician
3757
NV
207ND0900X
Dermatopathology Physician
3757
NV
207NS0135X
Procedural Dermatology Physician
3757
NV
207R00000X
Internal Medicine Physician
Primary
3757
NV
Other
Enumeration date
05/02/2006
Last updated
07/13/2026
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