Individual
JOHN A KLIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2525 5TH AVENUE SOUTH, ESCANABA, MI 49829
(906) 786-6047
(906) 786-0660
Mailing address
2525 5TH AVENUE SOUTH, ESCANABA, MI 49829
(906) 786-6047
(906) 786-0660
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301008917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1752100025
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
3257385
—
MI
05
—
3292357
—
MI
01
—
CG4010
RAILROAD GROUP
MI
Enumeration date
04/20/2006
Last updated
12/27/2011
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