NPI 1649715301

Michael Clark, RAC

Practitioner Acupuncturist Northville, MI

Practice location

Address: 420 N Center St, Northville, MI 48167-1224
Phone: (248) 636-2156

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 5401000053 (MI)

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Registry record

NPI: 1649715301
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2017
Record last updated: 4 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.