Individual
RICHARD W CLASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2031 PEACH ST, WISCONSIN RAPIDS, WI 54494-5181
(715) 423-0122
(715) 422-7752
Mailing address
2031 PEACH ST, WISCONSIN RAPIDS, WI 54494-5181
(715) 423-0122
(715) 422-7752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22783
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30297900
—
WI
Enumeration date
07/17/2006
Last updated
12/06/2012
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