Organization
JOHN J. CLARKE, D.P.M.
Active
Other names
JOHN J. CLARKE, D.P.M.,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J CLARKE D.P.M. (OWNER)
(419) 332-8105
Entity
Organization
Contact information
Practice address
1900 HAYES AVE, FREMONT, OH 43420-2755
(419) 332-8105
(419) 332-8608
Mailing address
1900 HAYES AVE, FREMONT, OH 43420-2755
(419) 332-8105
(419) 332-8608
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1898
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166056
—
OH
01
—
CB9902
RAILROAD MEDICARE
OH
Enumeration date
10/03/2006
Last updated
01/24/2008
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