Individual
GLORIA M KLAASSEN WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
493 N DERENZY RD, CENTRAL LAKE, MI 49622-9566
(231) 544-7001
(231) 600-7054
Mailing address
493 N DERENZY RD, CENTRAL LAKE, MI 49622-9566
(231) 544-7001
(231) 600-7054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301053535
MI
Other
Enumeration date
02/14/2014
Last updated
10/28/2022
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