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Individual

DR. ROGER KLAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60101 BODNAR BLVD, SUITE 100B, MISHAWAKA, IN 46544-9328
(574) 335-8500
(574) 335-0794
Mailing address
17343 TURNBURY CT, GRANGER, IN 46530-9762
(574) 272-5252

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01036513A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000607147
BCBS
IN
01
000000619196
BCBS
IN
Enumeration date
11/10/2005
Last updated
03/22/2018
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