| Aaron K. Clark Md Pc | |
|
1217 Kearney St Port Huron MI 48060-3571 | |
| (810) 982-2095 | |
| (810) 982-8513 |
| Full Name | Aaron K. Clark Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1217 Kearney St, Port Huron, Michigan |
| Authorized Official Name and Position | Cora Foster (MEDICAL BILLER) |
| Authorized Official Contact | 8109822095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaron K. Clark Md Pc 1217 Kearney St Port Huron MI 48060-3571 Ph: (810) 982-2095 | Aaron K. Clark Md Pc 1217 Kearney St Port Huron MI 48060-3571 Ph: (810) 982-2095 |
| NPI Number | 1477740090 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 09/02/2020 |
| Medicare PECOS PAC ID | 4981506367 |
|---|---|
| Medicare Enrollment ID | O20040126000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477740090 | NPI | - | NPPES |
| 080G412290 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron K Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235113382 PECOS PAC ID: 6608778089 Enrollment ID: I20040407000490 |
| Provider Name | Laura Louise Brosius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908259 PECOS PAC ID: 0941533475 Enrollment ID: I20190614001107 |
| Provider Name | Brian G Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902415193 PECOS PAC ID: 1951728054 Enrollment ID: I20200903002797 |
| Provider Name | Autumn M Westerhof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912576117 PECOS PAC ID: 8820486376 Enrollment ID: I20211102002275 |
| Provider Name | Ryleigh Ann Armbruster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518671239 PECOS PAC ID: 4385098706 Enrollment ID: I20231006000528 |
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