Dr. Dwayne Charles Clark, MD
Dr. Dwayne Charles Clark, MD is a Family Practice in N Fond Du Lac, Wisconsin. Graduated from Duke University School of Medicine in 1994, 32 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 32
- Trained at
- Duke University School of Medicine
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
723 Park Ridge LnN Fond Du Lac, WI 54937-1385
Phone: (920) 926-8600
Fax: (920) 926-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 48855 (WI) |
|---|
Record details
| NPI number | 1184695975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 30, 2006 |
| Last updated in NPPES | October 28, 2020 |
| Certification date | October 28, 2020 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1994 (32 years in practice) |
| Group practice | Agnesian Healthcare Inc — 390 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in N Fond Du Lac
-
Daniel R Johnson, DO
723 Park Ridge Ln, N Fond Du Lac, WI 54937-1385 · (920) 926-8600
-
Dr. Kumi D Swart, DO
723 Park Ridge Ln, N Fond Du Lac, WI 54937-1385 · (920) 926-8600