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Kluz, Agnieszka Maria

CPSO#: 96685

MEMBER STATUS

Active Member as of 10 Aug 2011

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 10 Aug 2011

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, Polish

Education: Poznan University of Medical Sciences, 2007

Practice Information

Primary Location of Practice

Huron Community Family Health Team
Unit 32B
1 Centennial Drive
Seaforth ON N0K 1W0
Phone: (519) 600-2273
Fax: (519) 600-2500 Electoral District: 02

Additional Practice Location(s)

Huron East Community Medical Centre
32B 1 Centennial Drive
Box 460
Seaforth ON N0K 1W0
Canada
County: County of Huron
Electoral District: 02

Professional Corporation Information

Corporation Name: A. M. Kluz Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: Nov 10 2011

Shareholders:
Dr. A. Kluz ( CPSO# 96685 )
Dr. A. Kluz ( CPSO# 96859 )

Business Address:
24 Centennial Drive
Seaforth ON  N0K 1W0
Phone Number: (519) 527-1650

Business Address:
32 Centennial Drive
Seaforth ON  N0K 1W0
Phone Number: (519) 600-2273

Business Address:
46 General Hospital Drive
Stratford ON  N5A 2Y6
Phone Number: (519) 272-8210

Hospital Privileges

Hospital	Location
Seaforth Community Hospital	Seaforth

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:09 Dec 2009	CFPC Specialist

Terms and Conditions

(1) Dr. AGNIESZKA MARIA KLUZ may practise only in the areas of medicine in which Dr. KLUZ is educated and experienced.

Registration History

Action	Issue Date
First certificate of registration issued: Independent Practice Certificate	Effective: 10 Aug 2011