Individual
DR. COLIN EDWARD KLEINGUETL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 716-4131
(336) 713-0328
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2023-02259
NC
208800000X
Urology Physician
35142401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0444604
—
OH
Enumeration date
05/20/2016
Last updated
09/05/2023
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