Individual
MR. RUSSELL ALBERT KLOBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
228 WATER ST, HALLOWELL, ME 04347-1335
(207) 621-0985
(207) 621-0985
Mailing address
228 WATER ST, HALLOWELL, ME 04347-1335
(207) 621-0985
(207) 621-0985
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC105
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022750
ANTHEM BCBS PIN NUMBER
ME
Enumeration date
03/09/2007
Last updated
07/08/2007
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