Individual
MARY E KLECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26908 DETROIT RD, STE. 200, WESTLAKE, OH 44145-2398
(440) 250-8660
(440) 250-8639
Mailing address
26908 DETROIT RD, STE. 301, WESTLAKE, OH 44145-2398
(440) 892-6406
(440) 617-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.127125
OH
207R00000X
Internal Medicine Physician
56604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152379
—
OH
Enumeration date
06/26/2012
Last updated
11/01/2016
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