Individual
MR. DAVID A KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 524-8164
Mailing address
415 JEFFERSON ST NORTH, TRI-COUNTY HOSPITAL, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
033503
CT
208600000X
Surgery Physician
54709
MN
208600000X
Surgery Physician
Primary
68403
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001335034
BLUE CARE FAMILY PLAN
CT
05
—
001335034
—
CT
01
—
010033503CT01
ANTHEM BC / BS
CT
01
—
030515
HEALTHNET
CT
01
—
0706347
AETNA / US HEALTHCARE
CT
01
—
1144213006
CIGNA
CT
01
—
335030
CONNECTICARE
CT
01
—
P02113
CHA
CT
01
—
WIS020
OXFORD
CT
Enumeration date
06/23/2006
Last updated
06/05/2019
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