person
Clark Peter Johnson, DPM
Foot Surgery Podiatrist in Battle Creek, Michigan
NPI 1548220700

Clark Peter Johnson is a Foot Surgery Podiatrist based in Battle Creek, MI and is specialized in Foot Surgery. Clark Peter Johnson practices in Battle Creek, MI and has the professional credentials of DPM. The NPI Number for Clark Peter Johnson is 1548220700 and holds a License No. 5901000962 (Michigan).

The current practice location address for Clark Peter Johnson is 213 North Ave, Battle Creek, MI and can be reached out via phone at 269-968-6000 and via fax at 269-968-3015. You can also correspond with Clark Peter Johnson through the mailing address at 213 NORTH AVE, BATTLE CREEK, MI - 49017-3430 (mailing address contact number: 269-968-6000).

Location: 213 North Ave, Battle Creek, MI, 49017-3430
person
Provider Profile Details
NPI Number
1548220700
Provider Name
Clark Peter Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
213 North Ave, Battle Creek, MI, 49017-3430
Phone Number
269-968-6000
Fax Number
269-968-3015
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4851350000 01 MI BCBSM
0980190001 01 MI ADMINASTAR DMERC
5212079 01 MI AETNA
1342674 05 MI
2730002 01 MI PHP IBA
121508 01 MI PREFERRED CHOICES
P53895 01 MI BLUE CARE NETWORK
institution
Provider Business Practice Location Address Details
Address
213 North Ave
City
State
Zip
49017-3430
Phone Number
269-968-6000
Fax Number
269-968-3015
person
Provider Business Mailing Address Details
Address
213 North Ave
City
State
Zip
49017-3430
Phone Number
269-968-6000
Fax Number
269-968-3015
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
5901000962 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
5901000962 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
5901000962 (Michigan)
Definition
Definition to come...
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