| Dr Charles Edward Clark, MD | |
|
74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 | |
| (802) 453-5028 | |
| (802) 453-6105 |
| Full Name | Dr Charles Edward Clark |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 74 Munsill Ave, Bristol, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609912427 | NPI | - | NPPES |
| VT5630 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0420006979 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Edward Clark, MD 74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 Ph: (802) 453-5028 | Dr Charles Edward Clark, MD 74 Munsill Ave, Suite 100, Bristol, VT 05443-1032 Ph: (802) 453-5028 |
Jeffrey S Wulfman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave, Suite 100, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Natasha Alexa Withers, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Pine St Ste 400, Bristol, VT 05443 Phone: 802-453-7422 Fax: 802-453-4815 | |
Jennifer R Wisdom-behounek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443 Phone: 573-884-7733 | |
Brian D. Bates, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pine St, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
William Harrison Porter, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443 Phone: 802-453-5028 | |
Renee Bratspis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave Ste 100, Bristol, VT 05443 Phone: 802-453-5028 |