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Individual

DR. RICHARD L KLINGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5521
Mailing address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5521

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24690
MN
2083X0100X
Occupational Medicine Physician
24690
MN
208D00000X
General Practice Physician
Primary
24690
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409367400
MN
01
5T015KL
BLUE CROSS BLUE SHIELD NU
MN
Enumeration date
05/27/2006
Last updated
02/20/2013
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