Individual
STEVEN D KLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-2000
Mailing address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 568-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
74106
WI
363L00000X
Nurse Practitioner
Primary
1051
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036300
CRNA CERT
—
05
—
43280200
—
WI
Enumeration date
02/14/2008
Last updated
04/29/2009
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