Individual
DR. CLIFTON JAMES CLENDENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
279 W CAPAC RD, IMLAY CITY, MI 48444-1071
(810) 724-0596
(810) 724-2247
Mailing address
PO BOX 127, IMLAY CITY, MI 48444-0127
(810) 724-0596
(810) 724-2247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95OD450100
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/19/2006
Last updated
07/09/2007
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