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Individual

MARTHA JEAN KLIPEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
855 W MAPLE ST, SUITE 110, HARTVILLE, OH 44632-9668
(330) 877-3616
(330) 877-1783
Mailing address
855 W MAPLE ST, SUITE 110, HARTVILLE, OH 44632-9668
(330) 877-3616
(330) 877-1783

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055164
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0706383
OH
01
P00126114
RAILROAD MEDICARE NUMBER
OH
Enumeration date
12/19/2005
Last updated
02/03/2011
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