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Individual

DR. ELIZABETH ELLEN KLENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1661 VENTURE DR, MOUNT VERNON, OH 43050-8928
(740) 397-2915
(740) 397-3870
Mailing address
269 PORTLAND WAY SOUTH, GALION, OH 44833
(419) 462-4544
(419) 462-4566

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.080005
OH

Other

Enumeration date
04/27/2010
Last updated
02/22/2018
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