Individual
TIMOTHY T KLOSTERMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
482 KNOLLCREST CT, LEBANON, OH 45036-8059
(937) 725-2592
Mailing address
482 KNOLLCREST CT, LEBANON, OH 45036-8059
(937) 725-2592
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-06-8453-K
OH
2085R0202X
Diagnostic Radiology Physician
35068453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051612
—
OH
Enumeration date
05/25/2006
Last updated
04/23/2021
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