Individual
FRANK ANTHONY KLANDUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1106
(704) 377-2424
(704) 377-2687
Mailing address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1106
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036168425
IL
207P00000X
Emergency Medicine Physician
2005-00404
NC
207P00000X
Emergency Medicine Physician
46794
KY
207P00000X
Emergency Medicine Physician
MD61376221
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139T5
BCBSNC
NC
05
—
59-01290
—
NC
01
—
P00273991
RR MEDICAID
NC
05
—
Q04005
—
SC
Enumeration date
05/18/2006
Last updated
08/21/2024
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