Organization
MICHAEL D KLAUTZSCH OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D KLAUTZSCH (OD/OWNER)
50333640767
Entity
Organization
Contact information
Practice address
1810 SUMMER ST NE, SALEM, OR 97301-7147
(503) 364-0767
(503) 581-8340
Mailing address
1810 SUMMER ST NE, SALEM, OR 97301-7147
(503) 364-0767
(503) 581-8340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2515ATI
OR
Other
Enumeration date
09/24/2008
Last updated
12/23/2010
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