Individual
MICHELLE A KLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 MIDTOWNE ST NE, STE 450, GRAND RAPIDS, MI 49503
(616) 588-1200
(616) 588-1250
Mailing address
555 MIDTOWNE ST NE, STE 450, GRAND RAPIDS, MI 49503
(616) 588-1200
(616) 588-1250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301076658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4620274
—
MI
Enumeration date
06/10/2005
Last updated
02/06/2017
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