Terry L Clark is a Sheboygan, Wisconsin based male podiatrist who is specialized in Podiatry. Active license number of Terry L Clark for Podiatry is 649-025 in Wisconsin. Terry L Clark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Terry L Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1326008277
NPI Enumeration Date:
24 Mar, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Terry L Clark are as mentioned below.
License Number
Specialization
State
Status
649-025
Podiatry
Wisconsin
Primary
105334-0501
Podiatry
Utah
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Terry L Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
43213700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1127, Sheboygan, Wisconsin
Zip:
53082-1127
Phone Number:
920-457-6750
Fax Number:
920-457-8350
Patients can reach Terry L Clark at 728 Pennsylvania Ave, Sheboygan, Wisconsin or can call to book an appointment on 920-803-8014. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Jesika M Weigel, DPM 13+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 2414 Kohler Memorial Dr, WI Phone: 920-457-4461 Fax: 920-459-1483