Individual
CHARLES CLEMMENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 S CARSON ST, CARSON CITY, NV 89701-5232
(775) 883-7811
Mailing address
1100 S CARSON ST, CARSON CITY, NV 89701-5232
(775) 883-7811
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
09/11/2025
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