Individual
MR. BRIAN ALLAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LRT
Contact information
Practice address
2910 N SAGINAW RD, MIDLAND, MI 48640-2634
(989) 486-3040
(989) 486-3770
Mailing address
2910 N SAGINAW RD, MIDLAND, MI 48640-2634
(989) 486-3040
(989) 486-3770
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
L1645896
MI
Other
Enumeration date
01/10/2011
Last updated
06/14/2011
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