Individual
SUSAN E KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
420 DELAWARE ST SE MMC 250, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33559
MN
207RI0200X
Infectious Disease Physician
Primary
33559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089987
FAIRVIEW
MN
01
—
1001547
PREFERRED ONE
MN
01
—
101419
U CARE
MN
01
—
110049831
RR MEDICARE
—
05
—
367763600
—
MN
01
—
598614
ARAZ
—
01
—
7T741KL
BCBS
MN
01
—
9200002
MEDICA-CHOICE
MN
01
—
9274522
MEDICA-PRIMARY
MN
01
—
HP10773
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
06/30/2016
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