Organization
CLYDE PARK CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY E. GLADISH D.C. (PRESIDENT)
(616) 532-4500
Entity
Organization
Contact information
Practice address
4315 CLYDE PARK AVE SW, WYOMING, MI 49509-4101
(616) 532-4500
(616) 532-7344
Mailing address
4315 CLYDE PARK AVE SW, WYOMING, MI 49509-4101
(616) 532-4500
(616) 532-7344
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008725
MI
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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