MARK W DE CLUTE MD
NPI 1417057142
Radiology - Diagnostic Radiology in Wausau, WI

Active since September 23, 2006
2727 PLAZA DRIVE, WAUSAU, WI 54401(715) 847-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark W De Clute Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W DE CLUTE MD (NPI 1417057142) is an individual diagnostic radiology provider in Wausau, Wisconsin, licensed in Wisconsin (36415) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417057142
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK W DE CLUTECredential: MD
Location Address2727 PLAZA DRIVEWausau, WI 54401
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Sole ProprietorNo
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417057142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 36415
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2727 PLAZA DRIVE, Wausau, WI 54401

Other Identifiers 2

Medicare UPINE18285
Medicaid32110100WI

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2727 PLAZA DRIVE
WAUSAU, WI 54401
Preventive Medicine (Occupational Medicine)
2727 PLAZA DRIVE
WAUSAU, WI 54401
Obstetrics & Gynecology
2727 PLAZA DRIVE
WAUSAU, WI 54401
Physician Assistant
2727 PLAZA DRIVE
WAUSAU, WI 54401
Internal Medicine
2727 PLAZA DRIVE
WAUSAU, WI 54401
Internal Medicine
2727 PLAZA DRIVE
WAUSAU, WI 54401
Internal Medicine
2727 PLAZA DRIVE
WAUSAU, WI 54401
Physician Assistant
2727 PLAZA DRIVE
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark De Clute's NPI number?

The NPI number for Mark De Clute is 1417057142. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Mark De Clute located?

Mark De Clute practices at 2727 Plaza Drive, Wausau, WI 54401. The listed phone number is (715) 847-3000.

What is Mark De Clute's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark De Clute was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.