Klanke, Michelle Carol

Klanke, Michelle Carol is an individual health care provider with primary practice located at 1778 Sanford St , Muskegon MI 49441-2537. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klanke, Michelle Carol can be contacted via phone (231) 672-2160.

Contact Information

Primary practice address
1778 Sanford St Muskegon MI 49441-2537
Phone: (231) 672-2160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013742 Michigan

Profile Details

NPI number 1851361802
LBN Legal business name Klanke, Michelle Carol
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 22nd, 2021 - about 4 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 1851361802 NPPES
Michigan MEDICAID 4666961

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