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Individual
SUSAN L KLENK
Active
Individual
SUSAN L KLENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46021
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114694
MEDICA
MN
01
—
098K8KL
BCBS
MN
01
—
171841
UCARE
MN
01
—
1965902
AMERICAS PPO
MN
01
—
410849339 56001 C207
CHAMPUS
—
05
—
711192400
—
MN
01
—
HP39271
HEALTH PARTNERS
MN
01
—
NA2951035036
PREFERRED ONE
MN
01
—
P00040739
RR MEDICARE
—
Enumeration date
01/09/2006
Last updated
07/10/2020
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