Klamerus, Justin Frank

Klamerus, Justin Frank is an individual health care provider with primary practice located at 701 N Otsego Ave , Gaylord MI 49735-1558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Klamerus, Justin Frank can be contacted via phone (989) 731-7760.

Contact Information

Primary practice address
701 N Otsego Ave Gaylord MI 49735-1558
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 4301095357 Michigan

Profile Details

NPI number 1063468288
LBN Legal business name Klamerus, Justin Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063468288 NPPES
Michigan Other 4301095357 STATE LICENSE

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