Provider Demographics
NPI:1538276662
Name:KLAES, JANE (DO)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:KLAES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1269 STRIETER RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9643
Mailing Address - Country:US
Mailing Address - Phone:734-358-6733
Mailing Address - Fax:720-770-7997
Practice Address - Street 1:1269 STRIETER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-9643
Practice Address - Country:US
Practice Address - Phone:734-358-6733
Practice Address - Fax:720-770-7997
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015951207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine