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Individual

DR. MARIANNE KLEMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1 SOUTHTOWNE DR, SUITE B, POTOSI, MO 63664-5729
(573) 438-9355
(573) 438-7892
Mailing address
#1 SOUTHROWNE DRIVE, GREAT MINES HEALTH CENTER, POTOSI, MO 63664-5729
(573) 438-9355
(573) 438-1070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8A67
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R8A67
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168052
BCBS
MO
05
241300706
MO
Enumeration date
10/03/2005
Last updated
02/25/2013
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