Individual
DAVID CLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
406 W HUDSON AVE, ROYAL OAK, MI 48067-3122
(734) 953-4155
(734) 953-1622
Mailing address
406 W HUDSON AVE, ROYAL OAK, MI 48067-3122
(517) 614-3164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017805
MI
Other
Enumeration date
08/18/2016
Last updated
01/26/2017
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