Justin Frank Klamerus
Medical Oncology
701 N Otsego Ave
Gaylord
, Michigan 49735-1558
Justin Frank Klamerus
Medical Oncology
701 N Otsego Ave
Gaylord
, Michigan 49735-1558
(231) 487-3082
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Justin Frank Klamerus
- 416 Connable Ave
- Petoskey, MI
- Zip : 49770-2212
- Fax : (231) 487-3082
- Phone : (231) 487-7129
Second Address
- Justin Frank Klamerus
- 701 N Otsego Ave
- Gaylord, MI
- Zip : 49735-1558
- Phone : (989) 731-7760
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 4301095357 | MI |
National Provider Identifier
| NPI | 1063468288 |
|---|---|
| Provider Name | Justin Frank Klamerus |
| First Address | Petoskey, MI 49770-2212 |
| Second Address | Gaylord, MI 49735-1558 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2006 |
| Last Update Date | 12/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4301095357 | STATE LICENSE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.