Individual
MRS. MARCIA ANN KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2650 RIVERSIDE LN NE, ROCHESTER, MN 55906
(507) 421-7293
Mailing address
2650 RIVERSIDE LN NE, ROCHESTER, MN 55906-3455
(507) 421-7293
(507) 289-0384
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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