Individual
DR. SAMUEL BLAKE KLUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503
(616) 391-1730
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301119203
MI
207P00000X
Emergency Medicine Physician
Primary
4301119203
MI
Other
Enumeration date
07/25/2011
Last updated
02/21/2025
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