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NPI Verification

National Provider Identifier: 1134150386

Meredith Carter Clubb, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

6308 8TH AVE

STE 503

KENOSHA, WI 531435031

Phone: 262-656-8213

NPI Enumeration Date

July 5, 2006

NPI Number

1134150386

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry