Individual
MS. CHERYL-ANN KLASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5404
Mailing address
15659 FITZGERALD ST, LIVONIA, MI 48154-1807
(734) 658-9478
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704228967
MI
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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