Individual
MRS. MARCIA ANN KLUCK
Active
Individual
MRS. MARCIA ANN KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R 093453-2
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
046716
MN
Other
Enumeration date
08/23/2005
Last updated
09/08/2009
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