Individual
NOSSONAL KLEINFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33400 6 MILE RD, LIVONIA, MI 48152-3165
(734) 421-2020
(734) 421-2020
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5175
(248) 395-5170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301072297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104485008
—
MI
01
—
180H27019
BLUE CARE NETWORK HMO
MI
01
—
382155439
COMMERCIAL INSURANCE
MI
Enumeration date
07/05/2005
Last updated
05/10/2022
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