Individual
CLIFFORD A ONTHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
827 W FRONT ST, TRAVERSE CITY, MI 49684-2465
(231) 946-9246
(213) 946-0750
Mailing address
827 W FRONT ST, TRAVERSE CITY, MI 49684-2465
(231) 946-9246
(213) 946-0750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
382419505
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301004592
BLUE CARE NETWORK
—
01
—
950B85023
BCBS
—
Enumeration date
01/31/2007
Last updated
05/02/2008
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