Individual
MARY ANN KLOPPEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
Mailing address
5702 S BIRD ST, SUN PRAIRIE, WI 53590-9231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
491-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40024800
—
WI
Enumeration date
03/29/2007
Last updated
12/12/2012
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