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Individual

MICHAEL EUGENE KLAICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1306 E SHERWOOD DR, GRAND JUNCTION, CO 81501-7578
(970) 245-5678
(970) 245-5679
Mailing address
1306 E SHERWOOD DR, GRAND JUNCTION, CO 81501-7578
(970) 245-5678
(970) 245-5679

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1314
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08131492
CO
Enumeration date
06/13/2006
Last updated
12/16/2009
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