Dr Clay A Canaday, DO | |
100 County Road B, Shawano, WI 54166-7072 | |
(920) 831-5050 | |
(920) 738-6400 |
Full Name | Dr Clay A Canaday |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 100 County Road B, Shawano, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275594491 | NPI | - | NPPES |
020035406 | Other | IL | COMMERICAL |
450030820 | Other | WI | MEDICARE PTAN |
3160469678 | Other | IL | BCBS |
711290217 | Other | WI | MEDICARE PTAN |
036085694 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036085694 (Illinois) | Secondary |
207X00000X | Orthopaedic Surgery | 47614 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Clay A Canaday, DO Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3200 | Dr Clay A Canaday, DO 100 County Road B, Shawano, WI 54166-7072 Ph: (920) 831-5050 |
Jeffrey Lee Minikel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 920-831-5050 Fax: 920-738-6400 |