Callisia Clarke
Surgeon Surgical Oncologist
9200 W Wisconsin Ave Surgical Oncology
Milwaukee
, Wisconsin 53226-3522
Callisia Clarke
Surgeon Surgical Oncologist
9200 W Wisconsin Ave Surgical Oncology
Milwaukee
, Wisconsin 53226-3522
(414) 805-5771
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Callisia Clarke
- 9200 W Wisconsin Ave Surgical Oncology
- Milwaukee, WI
- Zip : 53226-3522
- Fax : (414) 805-5771
- Phone : (414) 805-5020
Second Address
- Callisia Clarke
- 9200 W Wisconsin Ave Surgical Oncology
- Milwaukee, WI
- Zip : 53226-3522
- Fax : (414) 805-5771
- Phone : (414) 805-5020
Reviews
FAQs
Where did Callisia Clarke attend graduate school?
Where did Callisia Clarke do her residency?
Where did Callisia Clarke do her fellowship?
Is Callisia Clarke board certified?
What type of doctor is Callisia Clarke
In what state does Callisia Clarke practice in?
Where is Callisia Clarke ’s practice located?
What is Callisia Clarke ’s gender?
Is Callisia Clarke a sole practitioner?
Is Callisia Clarke accepting new patients?
What languages does Callisia Clarke speak?
Does Callisia Clarke accept insurance?
Does Callisia Clarke offers telemedicine?
What is Callisia Clarke ’s professional license number?
What is Callisia Clarke ’s NPI number?
Does Callisia Clarke have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 57012026 | OH |
| N | 208600000X | Surgeon | 57012026 | OH |
| N | 208200000X | Surgeon | P5611 | TX |
| N | 208600000X | Surgeon | P5611 | TX |
| Y | 2086X0206X | Surgical Oncologist | 66205 | WI |
| N | 2086X0206X | Surgical Oncologist | P5611 | TX |
National Provider Identifier
| NPI | 1275752578 |
|---|---|
| Provider Name | Callisia Clarke |
| First Address | Milwaukee, WI 53226-3522 |
| Second Address | Milwaukee, WI 53226-3522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2007 |
| Last Update Date | 12/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 320489301 | (05) | TX |
| 8DT082 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.