MEDICARE: DR. MOLLY MARIE CLARK DNP, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	4704290182	MI

General Provider Information

NPI Number	:	1700358439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOLLY MARIE CLARK DNP, FNP-C

Provider Business Mailing Address
First Line	:	13409 E 14 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-6304
Country	:	US
Telephone Number	:	586-977-3900
Fax Number	:	586-977-6084

Provider Business Practice Location Address
First Line	:	2812 W CADILLAC DR
Second Line	:
City	:	FARWELL
State	:	MI
Zip	:	48622-9757
Country	:	US
Telephone Number	:	989-588-5050
Fax Number	:	989-588-5052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2018
Last Update Date	:	10/10/2022

Similar Medicare Providers

1780682096 — J & A HEALTH CARE SYSTEMS, INC.
Practice Location Address:

2532 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-9928
Practice Fax: 989-588-3005

1306858824 — MICHAEL J WERTHEIMER MD
Practice Location Address:

2812 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-5050
Practice Fax: 989-588-5052

1982933347 — MYMICHIGAN MEDICAL CENTER CLARE
Practice Location Address:

2812 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-5055
Practice Fax:

1235519638 — STACY CARSTENSEN FNP
Practice Location Address:

2812 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-5050
Practice Fax:

1366951642 — SAMUEL DOMINIC ZUCCALA OTR
Practice Location Address:

2532 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-9928
Practice Fax:

1932687381 — MEGAN MARIE GRISWOLD OTRL
Practice Location Address:

2532 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-9928
Practice Fax:

Directions to “ DR. MOLLY MARIE CLARK DNP, FNP-C” 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.