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Organization
KLEANTHOUS FAMILY FOOT CLINIC, P.C.
Active
Organization
KLEANTHOUS FAMILY FOOT CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KLEO KLEANTHOUS D.P.M. (PHYSICIAN/OWNER)
(734) 433-2397
Entity
Organization
Contact information
Practice address
140 W. MIDDLE STREET, SUITE B, CHELSEA, MI 48118-1293
(734) 433-2397
(734) 433-2655
Mailing address
140 W. MIDDLE STREET, SUITE B, CHELSEA, MI 48118-1293
(734) 433-2397
(734) 433-2655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4858150140
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
03/02/2007
Last updated
12/08/2022
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