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Individual

MICHAEL F KLAESER

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
614 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-2386
Mailing address
3420 JACKSON ST, OSHKOSH, WI 54901-8144
(920) 426-2211
(920) 426-2231

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
62948030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43284300
WI
Enumeration date
06/06/2006
Last updated
07/08/2007
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