Individual
BRIAN JOSEPH KLOCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
155 MCDONALD DRIVE SW, NEW PHILADELPHIA, OH 44663
(330) 308-8999
(330) 308-8016
Mailing address
155 MCDONALD DRIVE SW, NEW PHILADELPHIA, OH 44663
(330) 308-8999
(330) 308-8016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002987
OH
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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