Organization
CLARKSTON MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARLIKA C DHABUWALA MD (PRESIDENT)
(248) 625-8220
Entity
Organization
Contact information
Practice address
5790 S MAIN STREET, STE J, CLARKSTON, MI 48346
(248) 625-8220
(248) 625-6646
Mailing address
5790 S MAIN STREET, STE J, CLARKSTON, MI 48346
(248) 625-8220
(248) 625-6646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TD040084
MI
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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