# MARY KLEMENS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mary rose clifton md
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992944193
- **Authorized official:** DR. MARY ROSE CLIFTON MD (MEDICAL PROVIDER)
- **Authorized official phone:** (231) 935-3549

## Contact information

- **Practice address:** 800 COTTAGE VIEW DR, SUITE 1080B, TRAVERSE CITY, MI 49684-2490
- **Practice address phone:** (231) 935-3549
- **Practice address fax:** (231) 935-3548
- **Mailing address:** 800 COTTAGE VIEW DR, SUITE 1080B, TRAVERSE CITY, MI 49684-2490
- **Mailing address phone:** (231) 935-3549
- **Mailing address fax:** (231) 935-3548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 431065488 | MI | Yes |

## Other

- **Enumeration date:** 02/11/2009
- **Last updated:** 02/11/2009