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Individual
DEAN A KLUG
Active
Individual
DEAN A KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD19774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040007776
RR MEDICARE
TN
01
—
10400065
UHC
TN
01
—
3005838
BC
TN
05
—
3068397
—
TN
Enumeration date
08/21/2006
Last updated
01/25/2018
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