| Dr Molly Marie Clark, DNP, FNP-C | |
|
2812 W Cadillac Dr, Farwell, MI 48622-9757 | |
| (989) 588-5050 | |
| (989) 588-5052 |
| Full Name | Dr Molly Marie Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2812 W Cadillac Dr, Farwell, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700358439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704290182 (Michigan) | Primary |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Molly Marie Clark, DNP, FNP-C 13409 E 14 Mile Rd, Sterling Heights, MI 48312-6304 Ph: (586) 977-3900 | Dr Molly Marie Clark, DNP, FNP-C 2812 W Cadillac Dr, Farwell, MI 48622-9757 Ph: (989) 588-5050 |
Stacy Carstensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2812 W Cadillac Dr, Farwell, MI 48622 Phone: 989-588-5050 | |
Jodi Ann Drenth, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 522 E Main St, Farwell, MI 48622 Phone: 989-544-8000 Fax: 989-855-5910 |