DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANDREW BURNHAM CLARK DPM

MEDICARE: ANDREW BURNHAM CLARK DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist36.002902OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000135414OTHERANTHEM
302222OTHEROHPARAMOUNT

General Provider Information

NPI Number : 1679572796
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW BURNHAM CLARK DPM
Provider Business Mailing Address
First Line : 609 FORD ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-1947
Country : US
Telephone Number : 419-893-5539
Fax Number : 419-893-6853
Provider Business Practice Location Address
First Line : 609 FORD ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-1947
Country : US
Telephone Number : 419-893-5539
Fax Number : 419-893-6853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 02/12/2010

Similar Medicare Providers

1710621958 — LUCAS SCOT ADAMS DPM
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853
1093714321 — MICHAEL DAVID CARDINAL DPM
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853
1306845425 — MATTHEW MILES WILKIN DPM
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853
1215936331 — JOHN WILLIAM LANE DPM
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853
1417956483 — JOHN SHALLEY CARROLL DPM
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853
1588664296 — PODIATRIC ASSOCIATES OF NORTHWEST OHIO, LLC
Practice Location Address:
609 FORD ST
MAUMEE, OH
43537-1947
Practice Phone: 419-893-5539
Practice Fax: 419-893-6853

Directions to “ ANDREW BURNHAM CLARK DPM” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.