Individual
DR. JOHN J KLOSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 NICHOLAS CT, BETTENDORF, IA 52722-2177
(563) 650-7355
Mailing address
2101 NICHOLAS CT, BETTENDORF, IA 52722-2177
(563) 650-7355
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
28375
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060710
—
IL
01
—
28375
LICENSE
IA
Enumeration date
07/28/2005
Last updated
01/17/2020
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