Individual
DR. ELLEN MARIE KLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077146A
IN
208000000X
Pediatrics Physician
Primary
01077146
IN
Other
Enumeration date
06/13/2013
Last updated
02/05/2021
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