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Individual

DR. FREDRICK T KLINGBEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
44608
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
MD-41458
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006000261S
HUMANA
05
34208800
WI
Enumeration date
05/15/2006
Last updated
12/11/2017
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