Individual
COLLEEN KLOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-3271
Mailing address
328 W CONAN ST, ELY, MN 55731-1145
(218) 365-3271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-130881-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43323000
—
WI
Enumeration date
01/17/2006
Last updated
05/20/2016
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