Martin Cleary, MD
Family Medicine in Darlington, WI. Individual provider (NPI-1).
NPI number1104890482
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1104890482
- Entity type
- Individual (NPI-1)
- Name
- Martin Cleary
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2006
- Last updated
- Nov 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 64855-20 | WI | Yes |
| 207Q00000X | Family Medicine | 036-066997 | IL |
Practice location
731 Clay StDarlington, WI 53530
Phone 608-776-4497
Mailing address
731 Clay StDarlington, WI 53530-1225
Phone 608-776-4497
Other practice locations
606 Tisdell Ave
Warren, IL 61087-9741
Warren, IL 61087-9741
Phone 815-756-2644 · Fax 815-745-2546
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Family Medicine Physician providers in Darlington · All 121 providers in Darlington
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