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Individual

AMI LOUISE KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
1414 W FAIR AVE, SUITE 334, MARQUETTE, MI 49855-2675
(906) 225-3870
(906) 225-4861
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704180044
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2005005399
AMERICAN NURSESCREDENTIALING CENTER
01
5008754800
BLUE CROSS BLUE SHIELD
MI
01
P38340162
MI MEDICARE
MI
Enumeration date
06/27/2006
Last updated
08/26/2022
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