Individual
JOHN C KLINKENBORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
634 S 3RD ST, LANDER, WY 82520-3708
(307) 349-3149
(307) 332-7300
Mailing address
634 S 3RD ST, LANDER, WY 82520-3708
(307) 349-3149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5316A
WY
207Q00000X
Family Medicine Physician
G58074
CA
Other
Enumeration date
12/19/2006
Last updated
02/20/2017
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