Individual
DR. DAVID C KLEINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11126 432D AVE, LAKE CITY, SD 57247-6118
(605) 448-2306
Mailing address
11126 432D AVE, LAKE CITY, SD 57247-6118
(605) 448-2306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28010
WI
207Q00000X
Family Medicine Physician
Primary
6047
SD
207Q00000X
Family Medicine Physician
ME 75858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654518
—
ND
01
—
657926
DAKOTACARE
SD
01
—
657929
WELLMARK BC/BS
SD
05
—
657934
—
SD
Enumeration date
01/11/2006
Last updated
05/07/2008
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