Individual
HEATHER MARIE KLINGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503
(616) 267-8950
(616) 267-8585
Mailing address
100 MICHIGAN ST NE # MC-845, GRAND RAPIDS, MI 49503-2560
(616) 267-8950
(616) 267-8585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58087
MN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301109320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295174076
—
MI
Enumeration date
06/14/2013
Last updated
02/25/2021
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