Mrs Susan Louise Clark, NP | |
5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346-3198 | |
(248) 384-8300 | |
(248) 384-8309 |
Full Name | Mrs Susan Louise Clark |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5701 Bow Pointe Dr, Clarkston, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043525025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4704201015 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704201015 (Michigan) | Primary |
Entity Name | Harbor Beach Community Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619059458 PECOS PAC ID: 7214903483 Enrollment ID: O20040908001458 |
Mailing Address | Practice Location Address |
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Mrs Susan Louise Clark, NP 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346-3198 Ph: (248) 384-8300 | Mrs Susan Louise Clark, NP 5701 Bow Pointe Dr, Suite 225, Clarkston, MI 48346-3198 Ph: (248) 384-8300 |
Bradley David Winter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6549 Town Center Dr Ste A, Clarkston, MI 48346 Phone: 800-395-3223 | |
Kimberly Marie Visintine, DNP, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6315 Crab Apple St, Clarkston, MI 48346 Phone: 248-207-0206 | |
Gabrielle Domenica Fazio, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr Ste 120, Clarkston, MI 48346 Phone: 248-922-6880 | |
Suzanne Marie Lugger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5028 Ridge Trl S, Clarkston, MI 48348 Phone: 248-568-7189 | |
Cindy Kay Fulton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7013 Oakhurst Ridge Rd, Clarkston, MI 48348 Phone: 989-670-9510 | |
Daniel Joseph Dean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 Dixie Hwy Ste 1000, Clarkston, MI 48346 Phone: 517-882-3732 Fax: 517-882-3633 |