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Individual

DR. BARY MICHAEL KLEVENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
(510) 879-9120

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036148392
IL
207P00000X
Emergency Medicine Physician
2011012598
MO
207P00000X
Emergency Medicine Physician
C200736
CA

Other

Enumeration date
05/08/2008
Last updated
06/03/2025
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