Individual
ROSS KLOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1214 S GRANT RD, CARROLL, IA 51401-3102
(712) 792-1500
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05946
IA
Other
Enumeration date
03/19/2019
Last updated
08/02/2022
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