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Individual
MATTHEW KLUK
Active
Individual
MATTHEW KLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
207X00000X
Orthopaedic Surgery Physician
0101245900
VA
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0062365
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101245900
VIRGINIA MEDICAL LICENSE
VA
01
—
D85150
MARYLAND MEDICAL LICENSE
MD
01
—
DR.0062365
COLORADO MEDICAL LICENSE
CO
Enumeration date
08/20/2007
Last updated
12/31/2020
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