# KLASINSKI CLINIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619915741
- **Authorized official:** MR. CHASE L BEHRENDT MBA (ADMINISTRATOR)
- **Authorized official phone:** (715) 344-2164

## Contact information

- **Practice address:** 500 VINCENT ST, STEVENS POINT, WI 54481-1848
- **Practice address phone:** (715) 344-0701
- **Practice address fax:** (715) 344-4494
- **Mailing address:** 500 VINCENT ST, STEVENS POINT, WI 54481-1848
- **Mailing address phone:** (715) 344-0701
- **Mailing address fax:** (715) 344-4494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0917050001 | WI | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 02/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30670500 | — | WI |
| 05 | — | 31827000 | — | WI |
| 05 | — | 32144600 | — | WI |
| 05 | — | 32166500 | — | WI |
| 05 | — | 42969800 | — | WI |
| 05 | — | 42986500 | — | WI |
| 01 | — | CP7737 | PALMETTO GBA-RR MEDICARE | WI |