Individual
MR. PAUL JAMES KLEINSTIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2738 ROUNDTREE DR, TROY, MI 48083-2328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704246372
MI
Other
Enumeration date
01/02/2011
Last updated
01/02/2011
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