CLARK P JOHNSON

NORTH AVENUE PODIATRY SERVICES PC

Dr CLARK P JOHNSON is a male medical professional, specializing in Podiatry. He graduated in 1980.

Contact

NORTH AVENUE PODIATRY SERVICES PC

213 N AVE
BATTLE CREEK
MI
490173430

Tel: 2699686000

CLARK P JOHNSON Information

Npi 1548220700
Pac Id 3971674185
Professional Enrollment Id I20080616000641
Last Name JOHNSON
First Name CLARK
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1980
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH AVENUE PODIATRY SERVICES PC
Group Practice Pac Id 2365513579
Number Of Group Practice Members 3
Line 1 Street Address 213 N AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BATTLE CREEK
State MI
Zip Code 490173430
Phone Number 2699686000
Hospital Affiliation Ccn 1 230075
Hospital Affiliation Lbn 1 BRONSON BATTLE CREEK HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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