NPI 1033464185

Melanie Anne Clark, MD

Practitioner MOHS-Micrographic Surgery Physician Wauwatosa, WI

Practice location

Address: 10000 W Bluemound Rd, Wauwatosa, WI 53226-4321
Phone: (414) 454-8000
Fax: (414) 805-3808

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 67202-20 (WI)

Other Dermatology providers in Wisconsin →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 67202-20 (WI)

Registry record

NPI: 1033464185
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2012
Record last updated: 10 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.