Individual
DR. ELIZABETH M KLUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 345-1161
Mailing address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
(269) 552-2836
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101020966
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101020966
MI
207RP1001X
Pulmonary Disease Physician
52269
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
12/04/2007
Last updated
07/02/2015
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