Michael J Klobucher (NPI# 1396039541, PAC ID# 7517139173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1396039541 |
| PAC ID by PECOS | 7517139173 |
| Professional Enrollment ID | I20111004000668 |
| Full Name | Michael J Klobucher |
| Organization Legal Name | SHORELINE SPORT AND SPINE PC |
| Address |
18000 Cove St Suite 202 Spring Lake MI 49456-1383 |
| Phone Number | 6168471280 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4284673575 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 | 6168471280 | SHORELINE SPORT AND SPINE PC |
| Organization Legal Name | SHORELINE SPORT AND SPINE PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine K Farrimond | Physical Therapy | Shoreline Sport and Spine PC | 646 S Waverly Rd, I'move, Holland, MI 49423-9121 |
| Whitney G Rodriguez | Physical Therapy | Shoreline Sport and Spine PC | 65 S Main St C, I'move, Rockford, MI 49341-1287 |
| Carla R Bennick | Physical Therapy | Shoreline Sport and Spine PC | 17001 Ferris St, Grand Haven, MI 49417-9441 |
| Jennifer Marie Mccann-bauer | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Mary E Lomonaco Harig | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| David A Buursma | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Brooke A Meinema | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Jeffrey Clark | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Martin J Sytsema | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| William Patrick Seiler | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Street Address |
18000 COVE ST SUITE 202 |
| City | SPRING LAKE |
| State | MI |
| Zip | 49456-1383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marie Mccann-bauer | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Mary E Lomonaco Harig | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| David A Buursma | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Brooke A Meinema | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Jeffrey Clark | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Martin J Sytsema | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| William Patrick Seiler | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Christopher M Burdis | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Justin J Lyons | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Anton J Schuster | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Gleason | Chiropractic | 19084 N Fruitport Rd, Gleason Chiropractic Center, Spring Lake, MI 49456-1163 | |
| Daniel John Weessies | Chiropractic | 19084 N Fruitport Rd, Spring Lake, MI 49456-1163 | |
| Joseph J Auffrey Jr. | Psychologist, Clinical | 19100 N Fruitport Rd, Spring Lake, MI 49456-1165 | |
| Bruce W Dudley | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Spring Lake, MI 49456-1200 |
| Brian J Bradford | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Kara L Fahlen | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Damon R Bosscher | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Andrew C Young | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Renee M Przystas | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Robyn Smith | Physical Therapy | Shoreline Sport and Spine PC | 18000 Cove St, Suite 202, Spring Lake, MI 49456-1383 |
| Find all physicians in zip 49456 | |||
| City | SPRING LAKE |
| Zip Code | 49456 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SPRING LAKE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Michael J Klobucher.
| 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.