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Dr. Johnathan Clark, DC
Chiropractor in Sparta, Michigan
NPI 1538532361

Johnathan Clark is a Chiropractor based in Sparta, MI. Johnathan Clark practices in Sparta, MI and has the professional credentials of DC. The NPI Number for Johnathan Clark is 1538532361 and holds a License No. 2301010324 (Michigan).

The current practice location address for Johnathan Clark is 542 S State St, Sparta, MI and can be reached out via phone at 616-887-2178.

Location: 542 S State St, Sparta, MI, 49345-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538532361
Provider Name
Johnathan Clark
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
542 S State St, Sparta, MI, 49345-1547
Phone Number
616-887-2178
Fax Number
Provider Enumeration Date
11/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
504995ZU84 01 PA MEDICARE
institution
Provider Business Practice Location Address Details
Address
542 S State St
City
Sparta
State
Michigan
Zip
49345-1547
Phone Number
616-887-2178
Fax Number
person
Provider Business Mailing Address Details
Address
542 S State St
City
Sparta
State
Michigan
Zip
49345-1547
Phone Number
616-887-2178
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301010324 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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