Provider Demographics
NPI:1578525465
Name:CLAPP, WILLIAM L (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:CLAPP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5346 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-1230
Mailing Address - Country:US
Mailing Address - Phone:612-746-5888
Mailing Address - Fax:612-746-5818
Practice Address - Street 1:5346 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1230
Practice Address - Country:US
Practice Address - Phone:612-746-5888
Practice Address - Fax:612-746-5818
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2019-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN393132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP22348OtherHEALTH PARTNERS
260044492OtherRR MEDICARE
115611OtherUCARE
MN551220400Medicaid
MN62G47CLOtherBLUECROSS BLUESHIELD MN
MN62G46CLOtherBLUE CROSS BLUE SHIELD