Individual
MATTITHYAHU KLOPFENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 N GLENDALE DR, FORT WAYNE, IN 46804-8908
(260) 436-4711
Mailing address
2410 N GLENDALE DR, FORT WAYNE, IN 46804-8908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013037A
IN
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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