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NPI Code Detail

MEDICARE: MRS. SARAH L KLEMM M.S., CGC

MEDICARE: MRS. SARAH L KLEMM M.S., CGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1033371067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH L KLEMM M.S., CGC
Provider Business Mailing Address
First Line : 100 MICHIGAN ST NE
Second Line : MC 845
City : GRAND RAPIDS
State : MI
Zip : 49503-2560
Country : US
Telephone Number : 616-391-2700
Fax Number : 616-391-3114
Provider Business Practice Location Address
First Line : 25 MICHIGAN ST NE
Second Line : SUITE 2000
City : GRAND RAPIDS
State : MI
Zip : 49503-2508
Country : US
Telephone Number : 616-391-2700
Fax Number : 616-391-3114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 04/09/2014

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