Individual
IAN MICHAEL KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(952) 541-2802
Mailing address
17139 JONQUIL AVE, LAKEVILLE, MN 55044-9175
(952) 649-2859
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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