Organization
MICHAEL E. KLAICH, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LEWELLEN (OFFICE MANAGER)
(970) 245-5678
Entity
Organization
Contact information
Practice address
1306 E SHERWOOD DR, GRAND JUNCTION, CO 81501-7578
(970) 245-5678
(970) 245-5679
Mailing address
1306 E SHERWOOD DR, GRAND JUNCTION, CO 81501-7578
(970) 245-5678
(970) 245-5679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1314
CO
Other
Enumeration date
03/26/2008
Last updated
01/08/2010
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