Individual
AMANDA J KLUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7411
Mailing address
3831 MAXWELL RD, TOLEDO, OH 43613-4305
(419) 290-7018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58001896
OH
Other
Enumeration date
10/05/2006
Last updated
10/19/2007
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