Individual
JACQUELINE ANN KLIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2959 S TELEGRAPH RD, DEARBORN, MI 48124-3241
(313) 277-0440
Mailing address
2959 S TELEGRAPH RD, DEARBORN, MI 48124-3241
(313) 277-0440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005719
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950Q252300
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
01/18/2008
Last updated
01/18/2008
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