Individual
JUSTIN S. KLEINSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1414 W FAIR AVE STE 190, MARQUETTE, MI 49855-5406
(906) 225-1321
(906) 228-9371
Mailing address
1414 W FAIR AVE STE 190, MARQUETTE, MI 49855-5406
(906) 225-1321
(906) 228-9371
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704264634
MI
363LF0000X
Family Nurse Practitioner
Primary
4704264634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704264634
MI MEDICAL LICENSE (NURSE PRACTITIONER)
MI
Enumeration date
08/10/2020
Last updated
08/07/2026
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