Individual
DR. CLARK JAY HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 907-8788
Mailing address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 907-8788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010401
MI
Other
Enumeration date
06/04/2006
Last updated
03/30/2021
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