Organization
DONALD CLEMENTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD MICHAEL CLEMENTE JR. DPM (SOLE MEMBER)
(734) 788-2107
Entity
Organization
Contact information
Practice address
2183 NEWBURGH DR, TROY, MI 48083-2524
(248) 528-2599
(248) 528-2599
Mailing address
2183 NEWBURGH DR, TROY, MI 48083-2524
(248) 528-2599
(248) 528-2599
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001978
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4467304
—
MI
01
—
4856352060
BCBS OF MICHIGAN
MI
Enumeration date
08/26/2006
Last updated
08/22/2020
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