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Individual

JAMES G KLEVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45764
WI
207L00000X
Anesthesiology Physician
53603
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34431900
WI
Enumeration date
06/22/2005
Last updated
12/27/2013
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