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Individual

MR. ROBERT W KLASSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 SPRING ST, GAINESVILLE, GA 30501
(770) 532-3700
(770) 532-0059
Mailing address
PO BOX 907217, 100 SPRING ST, GAINESVILLE, GA 30501
(770) 532-3700
(770) 532-0059

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
034385
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00489244C
GA
Enumeration date
09/25/2006
Last updated
06/27/2016
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