Individual
SHIELA KLEMMETSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ESSENTIA HEALTH ST. JOSEPH'S-BAXTER CLINIC, 13060 ISLE DRIVE, BAXTER, MN 56425
(218) 828-2880
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 245-1220
(970) 245-9148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0054133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71720103
—
CO
Enumeration date
05/20/2013
Last updated
03/17/2018
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