Provider Demographics
NPI:1740680354
Name:CLAY, SUMMER MARIE (PA)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:MARIE
Last Name:CLAY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:363 FREMONT ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-3389
Mailing Address - Country:US
Mailing Address - Phone:269-969-6123
Mailing Address - Fax:269-969-6122
Practice Address - Street 1:363 FREMONT ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3389
Practice Address - Country:US
Practice Address - Phone:269-969-6123
Practice Address - Fax:269-969-6122
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
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Provider Licenses
StateLicense IDTaxonomies
MI5601007096363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical