Individual
GRANT CARSON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
136 E MICHIGAN AVE, CLINTON, MI 49236-9811
(517) 456-4033
(517) 456-8283
Mailing address
11536 CARSON HWY, TECUMSEH, MI 49286-8711
(217) 440-3180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401185
MI
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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