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Organization

DAN KLAINER, P.C.

Active
Other names
Dan Klainer, Ed.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DAN R. KLAINER ED.D. (PSYCHOLOGIST)
(269) 375-0353
Entity
Organization

Contact information

Practice address
3030 S 9TH ST, SUITE 2-E, KALAMAZOO, MI 49009-7956
(269) 375-0353
Mailing address
3030 S 9TH ST, SUITE 2-E, KALAMAZOO, MI 49009-7956
(269) 375-0353

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301001261
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301001261
LICENSE NUMBER
MI
01
68-OC-94-530
BLUE CROSS NUMBER
MI
Enumeration date
11/08/2006
Last updated
09/27/2007
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