Provider Demographics
NPI:1831195304
Name:KLEER, EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:KLEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5333 MCAULEY DR
Mailing Address - Street 2:STE 3001
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-712-8100
Mailing Address - Fax:734-712-8112
Practice Address - Street 1:5333 MCAULEY DR
Practice Address - Street 2:STE 3001
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-8100
Practice Address - Fax:734-712-8112
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIEK065796208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI340019159OtherRR MEDICARE UNITED HEALTH
MI340H110900OtherBCBSM
MI002146OtherMIDWEST HEALTH PLAN
MI3833461163014OtherCIGNA
MI102405OtherCARE CHOICES
MI102405OtherPREFERRED CHOICES
MI340H110900OtherBLUE CARE NETWORK
MI4146980Medicaid
MI340019159OtherRR MEDICARE UNITED HEALTH
MI102405OtherCARE CHOICES