| Edith Clark Dpm Pllc | |
|
125 Dwyer St, Clare, MI 48617-1002 | |
| (989) 386-9721 | |
| Not Available |
| Full Name | Edith Clark Dpm Pllc |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770559528 PECOS PAC ID: 2567448483 Enrollment ID: I20040630000296 |
| Provider Name | Ryan Marks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639606239 PECOS PAC ID: 4688005150 Enrollment ID: I20200518000753 |
| Provider Name | David C Vance |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043703176 PECOS PAC ID: 5799030284 Enrollment ID: I20210709002621 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |