Individual
DR. JACK MAREK KLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE STE 5001, COLORADO SPRINGS, CO 80907-6865
(719) 776-3580
Mailing address
8720 N KENDALL DR STE 108, MIAMI, FL 33176-2208
(786) 213-3847
(305) 554-7616
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DR.0069409
CO
207T00000X
Neurological Surgery Physician
M-17074
ID
207T00000X
Neurological Surgery Physician
ME97440
FL
Other
Enumeration date
04/19/2007
Last updated
04/03/2023
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