Individual
JOHN THOMAS CLAWSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17641 SCHOOLCRAFT ST APT 3, DETROIT, MI 48227-4508
(313) 979-0286
Mailing address
17641 SCHOOLCRAFT ST # A-3, DETROIT, MI 48227-1361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392842982
—
MI
Enumeration date
07/07/2025
Last updated
07/07/2025
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