Individual
DR. MITCHELL E KLAUSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30840 NORTHWESTERN HWY, SUITE 300, FARMINGTON HILLS, MI 48334-2552
(248) 932-8725
(248) 932-8977
Mailing address
30840 NORTHWESTERN HWY, SUITE 300, FARMINGTON HILLS, MI 48334-2552
(248) 932-8725
(248) 932-8977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075569
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0828603
BCBS INDIVIDUAL
MI
05
—
4401625
—
MI
Enumeration date
12/06/2005
Last updated
07/08/2007
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