Individual
DR. JEFFREY DAVID KLOPFENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605-2530
(309) 676-0766
(309) 676-5920
Mailing address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605-2530
(309) 676-0766
(309) 676-5920
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036114939
IL
207T00000X
Neurological Surgery Physician
Primary
036-114939
IL
Other
Enumeration date
06/17/2006
Last updated
09/29/2014
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