Michael Klose
NPI #1053717975 in Tinker Afb, Oklahoma
Provider Information
- NPI Number
- 1053717975
- Entity Type
- Individual
- Name
- Michael Klose
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Nov 5, 2014
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 7050 AIR DEPOT BLVD
- City
- Tinker Afb
- State
- Oklahoma
- ZIP Code
- 73145-8716
- Phone
- (405) 734-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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