Individual
JOSEPH MICHAEL KLICK
Active
Individual
JOSEPH MICHAEL KLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0799010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103036
ARAZ
MN
01
—
143425200
US DEPARTMENT OF LABOR
MN
05
—
177742400
—
MN
01
—
2552
ARAZ
MN
01
—
27G81KL
BLUE CROSS MN
MN
01
—
430056096
PALMETTO GBA RR MC
MN
Enumeration date
05/23/2005
Last updated
04/28/2008
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