Individual
MR. CLEANTHIS MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC, TLLP
Contact information
Practice address
500 E WASHINGTON ST STE 100, ANN ARBOR, MI 48104-2057
(734) 764-3471
Mailing address
1260 ASTOR AVE APT 1923, ANN ARBOR, MI 48104-6161
(919) 321-7574
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6352000816
MI
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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