Search › Michigan › 111N00000X
Johnathan Clark, D.C
NPI 1538532361 · on the registry since 2015
Practice
- Address
- 542 S State St
Sparta, MI 49345 - Phone
- (616) 887-2178
- Organisation at this address
- Serenity Wellness Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
111N00000X - Licence states on file
- MI, PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan