Individual provider · Type 1 NPI

Derek E. Clevidence, MD, PhD

Family Medicine Physician · Monona, WI

NPI number 1093774135 Active

Practice location

6408 Copps Ave
Monona, WI 53716-3702

Call (608) 417-3000 Map

Fax (608) 417-3100

Mailing address

202 S Park St
Madison, WI 53715-1507

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X42305 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1093774135

Derek E. Clevidence, MD, PhD's National Provider Identifier is 1093774135, issued on Mar 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Monona, WI. The record was last updated on May 18, 2018.