Individual
ROXANNE KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
286 S SHAW LN, LINWOOD, MI 48634-9486
(989) 239-9374
Mailing address
286 S SHAW LN, LINWOOD, MI 48634-9486
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704166432
MI
Other
Enumeration date
11/21/2014
Last updated
01/21/2015
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