Organization
FREDERICK R KLEPSCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRIE S THIEL (BILLING SPECIALIST)
(219) 661-1592
Entity
Organization
Contact information
Practice address
2050 N MAIN ST, SUITE C, CROWN POINT, IN 46307-2035
(219) 661-0196
(219) 661-1593
Mailing address
2050 N MAIN ST, SUITE C, CROWN POINT, IN 46307-2035
(219) 661-0196
(219) 661-1593
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01026277
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008820
—
IN
Enumeration date
03/26/2013
Last updated
03/26/2013
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