Individual
CLARK FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
677 E MAIN ST STE A, CENTREVILLE, MI 49032-8525
(269) 467-1000
(269) 467-3075
Mailing address
677 E MAIN ST STE A, CENTREVILLE, MI 49032-8525
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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