Individual
DR. JAMES G CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
669 BALDWIN ST, JENISON, MI 49428-7903
(616) 457-7171
(616) 457-1121
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340402
—
MI
01
—
480006462
RR MEDICARE
—
01
—
JC001439
BLUE CROSS
—
Enumeration date
12/22/2005
Last updated
01/28/2011
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