Individual
CHERYL MARIE KLENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1835 WEST COUNTY ROAD C, ROSEVILLE, MN 55113-1304
(763) 785-4500
(763) 785-7779
Mailing address
1835 WEST COUNTY ROAD C, ROSEVILLE, MN 55113-1304
(763) 785-4500
(763) 785-7779
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
36591
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842974000
—
MN
Enumeration date
03/14/2006
Last updated
02/05/2015
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