| 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 |