Individual
PAMELA LYNN KLINKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2680 LEONARD ST NE, SUITE 2, GRAND RAPIDS, MI 49525
(616) 224-1515
(616) 224-2070
Mailing address
2680 LEONARD ST NE, SUITE 2, GRAND RAPIDS, MI 49525
(616) 949-9944
(616) 949-4978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002825
MI
Other
Enumeration date
05/01/2008
Last updated
09/25/2018
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