Edith Clark Dpm Pllc | |
125 Dwyer St, Clare, MI 48617-1002 | |
(989) 386-9721 | |
Not Available |
Full Name | Edith Clark Dpm Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 125 Dwyer St, Clare, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023174273 | NPI | - | NPPES |
4613888 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | EC001742 (Michigan) | Primary |
Provider Name | Edith M Clark |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770559528 PECOS PAC ID: 2567448483 Enrollment ID: I20040630000296 |
Provider Name | Ryan Marks |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1639606239 PECOS PAC ID: 4688005150 Enrollment ID: I20200518000753 |
Provider Name | David C Vance |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043703176 PECOS PAC ID: 5799030284 Enrollment ID: I20210709002621 |
Mailing Address | Practice Location Address |
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Edith Clark Dpm Pllc 4310 Leonard St Nw, Suite 103, Walker, MI 49534-8447 Ph: (616) 453-6329 | Edith Clark Dpm Pllc 125 Dwyer St, Clare, MI 48617-1002 Ph: (989) 386-9721 |
Edith Clark, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 125 Dwyer St, Clare, MI 48617 Phone: 989-386-9721 | |
Dr. Timothy J Dailey, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 125 Dwyer St, Clare, MI 48617 Phone: 989-386-9721 |