Individual
ROBERT KLOTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1375 CONGRESS ST, PORTLAND, ME 04102-2118
(207) 772-4203
(207) 780-1055
Mailing address
13 FOREST RD, NEW GLOUCESTER, ME 04260-3026
(207) 772-4203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA76
ME
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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