Healthcare Provider Details

I. General information

NPI: 1992856470
Provider Name (Legal Business Name): MICHAEL EDWARD KLEPSER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 OLIVER ST FERRIS STATE UNIVERSITY COLLEGE OF PHARMACY
KALAMAZOO MI
49008-1285
US

IV. Provider business mailing address

7507 MAC ARTHUR LN
PORTAGE MI
49024-7893
US

V. Phone/Fax

Practice location:
  • Phone: 269-387-7298
  • Fax:
Mailing address:
  • Phone: 269-321-0565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number5302027590
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: