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Individual

PHILETUS S KLEINSCHMIT JR.

Active
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Individual

PHILETUS S KLEINSCHMIT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704295394
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295394
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704295394
MI LICENSE
MI
Enumeration date
07/03/2019
Last updated
12/06/2023
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