Individual
JENNIFER L KLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1510 S STATE RD, STE D, DAVISON, MI 48423-1965
(810) 652-3600
(810) 652-3603
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
(810) 249-4037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015640
MI
Other
Enumeration date
05/31/2006
Last updated
04/12/2016
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