Individual
DEAN A KLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 WOLF RIVER BLVD, SUITE 220, GERMANTOWN, TN 38138-1785
(901) 755-5300
(901) 682-1362
Mailing address
PO BOX 2757, CORDOVA, TN 38088-2757
(901) 755-5300
(901) 753-9659
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD19774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040007776
RR MEDICARE
TN
01
—
10400065
UHC
TN
01
—
3005838
BC
TN
05
—
3068397
—
TN
Enumeration date
08/21/2006
Last updated
01/25/2018
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