Individual
MRS. MARGARET KLENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15959 HALL RD, SUITE 104, MACOMB, MI 48044-5363
(586) 884-8688
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(248) 764-3094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13806212
CAQH
MI
Enumeration date
04/29/2016
Last updated
10/25/2016
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