Individual
CRAIG A KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R089994-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049522100
—
MN
01
—
430014574
RAILROAD MEDICARE
MN
05
—
44377700
—
WI
05
—
ENROLLED
—
IA
Enumeration date
02/13/2006
Last updated
08/18/2008
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