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NPI Code Detail

MEDICARE: MICHAEL KLINGLER M.D.

MEDICARE: MICHAEL KLINGLER M.D.
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
1208C00000XColon & Rectal Surgery Physician4301512415MI
2208600000XSurgery Physician1356874440OH
3208C00000XColon & Rectal Surgery Physician35.137315OH

General Provider Information

NPI Number : 1356874440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL KLINGLER M.D.
Provider Business Mailing Address
First Line : 7835 ANNAPOLIS ST
Second Line :
City : PORTAGE
State : MI
Zip : 49002-4375
Country : US
Telephone Number : 216-970-4618
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number : 216-445-7653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2017
Last Update Date : 06/16/2026

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