CLARK WILLIAM STEVENS MD NPI 1528147543

NPI Information

  • NPI: 1528147543
  • Provider Name: CLARK WILLIAM STEVENS, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 704 S WEBSTER AVE
    OBGYN ASSOCIATES OF GREEN BAY LTD
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 468-3443

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NPI Details

Clark William Stevens, MD is an obstetrics gynecology in Green Bay, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Clark William Stevens, MD NPI is 1528147543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

704 S WEBSTER AVE
OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI
ZIP 54301
Phone: (920) 468-3443
Fax: (920) 432-6313

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology39553WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132400300MEDICAIDWISCONSIN
2C89528MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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