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Dr. Dwayne Charles Clark, MD

Family Medicine Physician in N Fond Du Lac, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184695975

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Registry record

Entity type Individual (Type 1)
Name Dr. Dwayne Charles Clark
Credential MD
Sex Male
Practice address 723 Park Ridge Ln, N Fond Du Lac, WI, 54937
Phone (920) 926-8600
Fax (920) 926-8650
Enumeration date Jan 30, 2006
Last updated in NPPES Oct 28, 2020

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 48855 (WI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
P00319962 Other WI RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Dwayne Clark practice?
The practice location on file with NPPES is in N Fond Du Lac, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Dwayne Clark?
The National Provider Identifier (NPI) for Dwayne Clark is 1184695975, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-28.