Individual
DR. ANNA LEAH KLEINEBREIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
927 S OTSEGO AVE, GAYLORD, MI 49735-1783
(989) 732-7518
(989) 732-4205
Mailing address
11082 LAKE SHORE DR, GAYLORD, MI 49735-8410
(231) 215-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004610
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932411691
—
MI
Enumeration date
07/11/2010
Last updated
07/29/2014
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