Provider Demographics
NPI:1992856470
Name:KLEPSER, MICHAEL EDWARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWARD
Last Name:KLEPSER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7507 MAC ARTHUR LN
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-7893
Mailing Address - Country:US
Mailing Address - Phone:269-321-0565
Mailing Address - Fax:
Practice Address - Street 1:1000 OLIVER ST
Practice Address - Street 2:FERRIS STATE UNIVERSITY COLLEGE OF PHARMACY
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1285
Practice Address - Country:US
Practice Address - Phone:269-387-7298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020275901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy