Individual
DR. JEFFERY ALLEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2991 S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-4600
Mailing address
2991 S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-4600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006919
MI
Other
Enumeration date
06/08/2006
Last updated
12/22/2011
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