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Individual

MR. BRIAN JAMES KLAUSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 222-6622
(419) 224-0015

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001289
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000496668
ANTHEM
Enumeration date
07/08/2005
Last updated
04/05/2010
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