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Individual
MR. BRIAN JAMES KLAUSING
Active
Individual
MR. BRIAN JAMES KLAUSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496668
ANTHEM
—
Enumeration date
07/08/2005
Last updated
04/05/2010
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