Individual
DR. MARK A KLINGBEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, PHYSICAL MEDICINE AND REHABILITATION, MILWAUKEE, WI 53226-3522
(414) 805-7342
(414) 805-7919
Mailing address
9200 W WISCONSIN AVE, PHYSICAL MEDICINE AND REHABILITATION, MILWAUKEE, WI 53226-3522
(414) 805-7342
(414) 805-7919
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27693
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000122P
HUMANA
—
05
—
1679524417
—
WI
Enumeration date
05/15/2006
Last updated
03/04/2014
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