Individual
DR. MARY THERESE KLINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
811 2ND ST SE, SUITE A, LITTLE FALLS, MN 56345-3559
(320) 631-7000
(320) 632-0534
Mailing address
811 2ND ST SE, SUITE A, LITTLE FALLS, MN 56345-3559
(320) 631-7000
(320) 632-0534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101031
MEDICA
—
01
—
102868C736
UCARE MINNESOTA
MN
01
—
21627
AMERICA'S PPO
—
01
—
5T131KL
BCBS OF MINNESOTA
MN
05
—
981819700
—
MN
01
—
A015
TRICARE
MN
01
—
HP264B2
HEALTH PARTNERS
—
01
—
NA9231013065
PREFERRED ONE
—
Enumeration date
07/12/2006
Last updated
11/07/2012
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