Organization
MARY KLEMENS MD PLLC
Active
Other names
mary rose clifton md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ROSE CLIFTON MD (MEDICAL PROVIDER)
(231) 935-3549
Entity
Organization
Contact information
Practice address
800 COTTAGE VIEW DR, SUITE 1080B, TRAVERSE CITY, MI 49684-2490
(231) 935-3549
(231) 935-3548
Mailing address
800 COTTAGE VIEW DR, SUITE 1080B, TRAVERSE CITY, MI 49684-2490
(231) 935-3549
(231) 935-3548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
431065488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4369582
—
MI
Enumeration date
02/11/2009
Last updated
02/11/2009
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