Individual
RONALD KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-7042
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1299-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39664700
—
WI
Enumeration date
04/13/2007
Last updated
01/22/2008
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