Individual
DR. JANICE KLEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1700
(906) 483-1122
Mailing address
500 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1700
(906) 483-1122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MI43043899
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829560001
MEDICARE DME
MI
01
—
0C16002
MEDICARE GROUP
MI
05
—
104361996
—
MI
01
—
JK043899
BLUECROSS STATE ID
MI
Enumeration date
05/19/2006
Last updated
03/13/2008
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