Individual provider · Type 1 NPI

Mark W. De Clute, MD

Diagnostic Radiology Physician · Wausau, WI

NPI number 1417057142 Active

Practice location

2727 Plaza Drive
Wausau, WI 54401

Call (715) 847-3000 Map

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5777

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X36415 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1417057142

Mark W. De Clute, MD's National Provider Identifier is 1417057142, issued on Sep 23, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Wausau, WI. The record was last updated on Jul 8, 2007.