Individual
MICHELLE JAYME KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGNP-BC
Contact information
Practice address
231 W PINE LAKE DR, NEWAYGO, MI 49337-9264
(231) 652-4107
(231) 652-4620
Mailing address
10700 TRAILSIDE WOODS DR NE, ROCKFORD, MI 49341-7213
(616) 206-2784
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704309389
MI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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