Individual
THOMAS A CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
29100 GATEWAY BLVD, STE 100, FLAT ROCK, MI 48134-2764
(734) 379-9200
(734) 379-9229
Mailing address
29100 GATEWAY BLVD, STE 100, FLAT ROCK, MI 48134-2764
(734) 379-9200
(734) 379-9229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TC005814
MI
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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