Individual
JORDAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10192 GRAND RIVER RD STE 107, BRIGHTON, MI 48116-6531
(810) 494-1900
Mailing address
10192 GRAND RIVER RD STE 107, BRIGHTON, MI 48116-6531
(810) 494-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010961
MI
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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