Donald G Clark (NPI# 1386669570, PAC ID# 3476536418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386669570 |
| PAC ID by PECOS | 3476536418 |
| Professional Enrollment ID | I20040611000849 |
| Full Name | Donald G Clark |
| Organization Legal Name | CLARK CENTER FOR COMPREHENSIVE MEDICINE PC |
| Address |
29521 Ford Rd Garden City MI 48135-2319 |
| Phone Number | 7343671205 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1987 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173506219 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230142 | BEAUMONT HOSPITAL - WAYNE |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| 230244 | GARDEN CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 29521 Ford Rd, Garden City, MI 48135-2319 | 7343671205 | CLARK CENTER FOR COMPREHENSIVE MEDICINE PC |
| 33155 Annapolis St, Wayne, MI 48184-2405 | 7344674000 | CLARK CENTER FOR COMPREHENSIVE MEDICINE PC |
| Organization Legal Name | CLARK CENTER FOR COMPREHENSIVE MEDICINE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Rogers | Psychologist, Clinical | Clark Center for Comprehensive Medicine PC | 29521 Ford Rd, Garden City, MI 48135-2319 |
| Street Address |
29521 FORD RD |
| City | GARDEN CITY |
| State | MI |
| Zip | 48135-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Rogers | Psychologist, Clinical | Clark Center for Comprehensive Medicine PC | 29521 Ford Rd, Garden City, MI 48135-2319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blayne David Baggett | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Stephen H Olsen | Pathology | Pinkus Dermatopathology Laboratory, PC | 32669 Warren Rd, Suite 10, Garden City, MI 48135-1677 |
| Kristen Jeanette Fitzpatrick | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Julie Christine Pfeifle | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Daniel J Cirka | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Eric S Seiger | Dermatology | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Lisa A Brown | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Aya Restrepo | Physician Assistant | Svc Dermatology PC | 32669 W Warren Rd, Suite 9, Garden City, MI 48135-1677 |
| Susan S Greenlee | Certified Nurse Midwife | Prime Garden City Medical Group | 30730 Ford Rd, Garden City, MI 48135-1803 |
| Annette Marie Tomasello | Certified Nurse Midwife | Prime Garden City Medical Group | 30730 Ford Rd, Garden City, MI 48135-1803 |
| Find all physicians in zip 48135 | |||
| City | GARDEN CITY |
| Zip Code | 48135 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GARDEN CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Donald G Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.