Individual
JOHN JEROME KLINKHAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-4863
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143632-030
WI
163W00000X
Registered Nurse
R 148370-7
MN
367500000X
Certified Registered Nurse Anesthetist
070361
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2888
WI
Other
Enumeration date
04/14/2006
Last updated
04/28/2026
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