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Contact Information

EDITH CLARK, DPM
125 DWYER ST
CLARE, MI48617-1002
 Phone: 989-386-9721
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDITH CLARK · (Female)

NPI # 1770559528
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/23/2006
Last updated 06/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MI License # EC001742
  • MI Medicaid 4613888
Hospital affiliation(s)
  • MIDMICHIGAN MEDICAL CENTER-CLARE - (Acute Care)
    703 N MCEWAN ST
    CLARE, MI 48617
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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