Individual
MS. COLENE JUDITH KLAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3031 W GRAND BLVD, DETROIT, MI 48202-3046
(313) 916-2454
(313) 916-1239
Mailing address
915 E 5TH STREET, ROYAL OAK, MI 48067
(248) 542-0568
(313) 916-1239
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001803
MI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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