NPI
Clint Ryan Dorn
NPI 1053476168
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DC
- Type
- Individual
- Enumeration date
- 2006-12-27
- Last updated
- 2011-09-16
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Specialties
Licenses
- License WI
- 4025012
Location
- Practice location
- W6905 Parkview Dr, Suite B
- City
- Greenville WI
- Postal code
- 54942-9099
- Phone
- (920) 757-5771
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Greenville, WI. 82 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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