Individual
DR. MICHAEL R KLETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 SPRING HILL RD, SUITE 350, MCLEAN, VA 22102-3006
(703) 790-9722
Mailing address
1420 SPRING HILL RD STE 350, MC LEAN, VA 22102-3040
(703) 790-9722
(703) 893-8666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101043722
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030002414
RAILROAD MEDICARE
—
05
—
6023312
—
VA
Enumeration date
07/18/2006
Last updated
05/29/2008
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