MEDICARE: DR. VLADIMIR KLEMPTNER MD

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
1	207R00000X	Internal Medicine Physician	4301040168	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396739975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VLADIMIR KLEMPTNER MD

Provider Business Mailing Address
First Line	:	1159 E MICHIGAN AVE STE B
Second Line	:
City	:	YPSILANTI
State	:	MI
Zip	:	48198-5807
Country	:	US
Telephone Number	:	734-483-1988
Fax Number	:	734-483-4877

Provider Business Practice Location Address
First Line	:	1159 E MICHIGAN AVE
Second Line	:	SUITE B
City	:	YPSILANTI
State	:	MI
Zip	:	48198-5807
Country	:	US
Telephone Number	:	734-483-1988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	12/07/2023

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