Individual
SUSAN HANSON KLEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6080 DIXIE HWY, SUITE B, CLARKSTON, MI 48346-3493
(248) 623-9700
(248) 623-8996
Mailing address
6080 DIXIE HWY, SUITE B, CLARKSTON, MI 48346-3493
(248) 623-9700
(248) 623-8996
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
SK042375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706301461
BCBSM
MI
Enumeration date
09/14/2005
Last updated
05/01/2008
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