Individual
JUSTIN FRANK KLAMERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N OTSEGO AVE, GAYLORD, MI 49735-1558
(989) 731-7760
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-7129
(231) 487-3082
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301095357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301095357
STATE LICENSE
MI
Enumeration date
05/26/2006
Last updated
11/12/2010
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