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Organization
NORTHERN MICHIGAN PHYSICAL MEDICINE PLC
Active
Organization
NORTHERN MICHIGAN PHYSICAL MEDICINE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD KLOOSTER II D.O. (OFFICER)
(231) 347-9800
Entity
Organization
Contact information
Practice address
2780 CHARLEVOIX AVE, 19, PETOSKEY, MI 49770-8058
(231) 347-9800
(231) 347-9850
Mailing address
2780 CHARLEVOIX AVE, 19, PETOSKEY, MI 49770-8058
(231) 347-9800
(231) 347-9850
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
GK012925
MI
Other
Enumeration date
11/02/2007
Last updated
11/13/2007
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