Individual
MRS. DOROTA MELLER KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
6777 W. MAPLE RD, DEPT OF SURGERY, WEST BLOOMFIELD, MI 48322
(248) 910-0061
(248) 849-3230
Mailing address
6777 W. MAPLE RD, DEPT OF SURGERY, WEST BLOOMFIELD, MI 48322-3031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231031
MI
Other
Enumeration date
11/04/2005
Last updated
02/15/2021
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