Charles R Klettner (NPI# 1760441646, PAC ID# 0345341483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760441646 |
| PAC ID by PECOS | 0345341483 |
| Professional Enrollment ID | I20070719000597 |
| Full Name | Charles R Klettner |
| Organization Legal Name | GRAND TRAVERSE INTERNISTS PC |
| Address |
5015 N Royal Dr Traverse City MI 49684-9292 |
| Phone Number | 5319350850 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042374977 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230097 | MUNSON MEDICAL CENTER |
| 231300 | PAUL OLIVER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1105 6th St, Traverse City, MI 49684-2345 | 2319229000 | MUNSON MEDICAL CENTER |
| 5015 N Royal Dr, Traverse City, MI 49684-9292 | 5319350850 | GRAND TRAVERSE INTERNISTS PC |
| Organization Legal Name | GRAND TRAVERSE INTERNISTS PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Douglas | Physician Assistant | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Judith M Yates | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Adrienne B Wagner | Family Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Marci Rae Bultemeier | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| David E Oakley | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Elizabeth Lynn Hughes | Family Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Street Address |
5015 N ROYAL DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-9292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Douglas | Physician Assistant | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Judith M Yates | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Adrienne B Wagner | Family Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Marci Rae Bultemeier | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| David E Oakley | Internal Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Elizabeth Lynn Hughes | Family Medicine | Grand Traverse Internists PC | 5015 N Royal Dr, Traverse City, MI 49684-9292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Julie Slough Runstrom | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TRAVERSE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles R Klettner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.