Individual
DR. JAMES F KLECZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39082
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004000215Q
HUMANA
—
05
—
1699726430
—
WI
Enumeration date
05/15/2006
Last updated
03/12/2013
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