Individual
DAVID L KLIONSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 W UNIVERSITY DRIVE, ROCHESTER, MI 48307-1831
(248) 652-5000
(248) 652-5605
Mailing address
PO BOX 80275, ROCHESTER HILLS, MI 48308-0275
(248) 652-5000
(248) 652-5605
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
050238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638390
BLUE SHIELD
MI
05
—
2583411
—
MI
Enumeration date
05/17/2006
Last updated
07/08/2007
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