| Michael Eric Clark, RN | |
|
75 Banting Dr, Georgetown, OH 45121-1460 | |
| (937) 378-4811 | |
| (937) 378-4812 |
| Full Name | Michael Eric Clark |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 75 Banting Dr, Georgetown, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336407444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN 300536 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Eric Clark, RN 75 Banting Dr, Georgetown, OH 45121-1460 Ph: (937) 378-4811 | Michael Eric Clark, RN 75 Banting Dr, Georgetown, OH 45121-1460 Ph: (937) 378-4811 |
Patricia Malott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 75 Banting Dr, Georgetown, OH 45121 Phone: 937-378-4811 Fax: 937-378-4812 | |
Amanda Gregoire, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3793 White Oak Valley Rd, Georgetown, OH 45121 Phone: 937-378-0334 | |
Shelby Wagner, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 513-834-7063 | |
Ms. Melissa Lynn Maggard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 38 Kellie Ter Apt 38, Georgetown, OH 45121 Phone: 937-378-0290 | |
Mary Louanne Wilburn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 421 Home St, Georgetown, OH 45121 Phone: 833-510-4357 | |
Samantha E Bolender, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 207 W Cherry St, Georgetown, OH 45121 Phone: 513-658-2972 |