Andrew Burnham Clark, DPM

NPI #1679572796 in Maumee, Ohio

Provider Information

NPI Number: 1679572796
Entity Type: Individual
Name: Andrew Burnham Clark, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Jul 20, 2005
Last Updated: Feb 12, 2010

Practice Location

Address: 609 FORD ST
City: Maumee
State: Ohio
ZIP Code: 43537-1947
Phone: (419) 893-5539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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