Individual
JEREMIAH GORDON CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5570 WILSON AVE SW STE L, WYOMING, MI 49418-8867
(616) 259-9835
Mailing address
5570 WILSON AVE SW STE L, WYOMING, MI 49418-8867
(616) 259-9835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010577
MI
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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