Edith Clark Dpm Pllc in Clare - Podiatrist
Edith Clark Dpm Pllc - NPI 1023174273
Edith Clark Dpm Pllc is a Podiatrist in Clare, Michigan. Edith Clark Dpm Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edith Clark Dpm Pllc is 1023174273. The last update date is 2010-06-10.
Edith Clark Dpm Pllc's current location address is 125 Dwyer St, Clare, Michigan. You can contact this provider via phone number 9893869721. The mailing address for Edith Clark Dpm Pllc is 125 Dwyer St, Clare, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edith Clark Dpm Pllc |
|---|---|
| Address | 125 Dwyer St, Clare, Michigan |
| Phone Number | 9893869721 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Clark Edith |
| Credentials | DPM |
| Telephone Number | 9893869721 |
NPI Number Detail
| NPI Number | 1023174273 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2010-06-10 |
Provider Mailing Address Detail
| Address | 125 Dwyer St |
|---|---|
| City | Clare |
| State | Michigan (MI) |
| Post Code | 486171002 |
| Phone Number | 9893869721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | EC001742 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4613888 | MI | -- |
Post Comment/ Review Below
What is the Edith Clark Dpm Pllc's unique identification number?
The Edith Clark Dpm Pllc has been assigned the NPI (National Provider Identifier) Number 1023174273 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Edith Clark Dpm Pllc is physically located?
The Edith Clark Dpm Pllc is situated at the following address: 125 Dwyer St, Clare, MI 486171002.
What is the Edith Clark Dpm Pllc's area of specialization and corresponding taxonomy classification?
The Edith Clark Dpm Pllc's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
When was the Edith Clark Dpm Pllc's 1023174273 issued?
The Edith Clark Dpm Pllc's 1023174273 was issued on 2006-12-29.
As of what date were the details related to Edith Clark Dpm Pllc most recently updated or revised?
The information pertaining to Edith Clark Dpm Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-10.
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