Dr. Rick E Klug, DDS
Dentist, General Practice in St Joseph, MI. Individual provider (NPI-1).
NPI number1073616645
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073616645
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rick E Klug
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11585 | MI | Yes |
Practice location
2460 Lakeshore DrSt Joseph, MI 49085
Phone 269-983-5583 · Fax 269-983-5663
Mailing address
2460 Lakeshore DrSt Joseph, MI 49085
Phone 269-983-5583 · Fax 269-983-5663
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