Jonathan Michael Klunk, OD

NPI #1306546916 in Alton, Illinois

Provider Information

NPI Number: 1306546916
Entity Type: Individual
Name: Jonathan Michael Klunk, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 3, 2023
Last Updated: Dec 21, 2023

Practice Location

Address: 1819 HOMER ADAMS PKWY
City: Alton
State: Illinois
ZIP Code: 62002-5606
Phone: (618) 208-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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