Healthcare Provider Details

I. General information

NPI: 1356874440
Provider Name (Legal Business Name): MICHAEL KLINGLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

7835 ANNAPOLIS ST
PORTAGE MI
49002-4375
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax: 216-445-7653
Mailing address:
  • Phone: 216-970-4618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number4301512415
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1356874440
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number35.137315
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: