Michael Klose, | |
1599 J St, Grand Forks Afb, ND 58205-6306 | |
(701) 747-5601 | |
Not Available |
Full Name | Michael Klose |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 1599 J St, Grand Forks Afb, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053717975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Michael Klose, 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-5560 | Michael Klose, 1599 J St, Grand Forks Afb, ND 58205-6306 Ph: (701) 747-5601 |
Kacie M Brown, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204 Phone: 614-499-7950 | |
Breezetta Lowanet Etienne, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1599 J St, Grand Forks Afb, ND 58205 Phone: 701-747-6687 |