Individual
MICHAEL R. KLIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 MCHENRY AVE, SUITE 100, MODESTO, CA 95350-4500
(209) 571-6622
(209) 527-2069
Mailing address
PO BOX 30997, LOS ANGELES, CA 90030-0997
(559) 455-4053
(559) 455-4007
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
043877
CT
2085R0202X
Diagnostic Radiology Physician
Primary
A105793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02571424
—
NY
Enumeration date
05/05/2006
Last updated
01/27/2009
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