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Individual

JONATHAN L KLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2249
(920) 320-3529
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2249
(920) 320-3529

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40632
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050075054
MEDICARE RAILROAD
WI
05
34002700
WI
Enumeration date
08/15/2006
Last updated
05/28/2008
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