Individual
MATT KLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4212 GRAND AVE, DULUTH, MN 55807-2737
(218) 786-3500
Mailing address
9307 WOODRIDGE CIR, SAVAGE, MN 55378-3153
(952) 454-3721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13292
MN
Other
Enumeration date
01/14/2020
Last updated
02/12/2020
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