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Individual

DR. THERESA K KLINGE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176
Mailing address
7450 FRANCE AVE S, SUITE 100, EDINA, MN 55435-4787
(952) 832-8100
(952) 832-8176

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2664
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0800014
MEDICA DUEL SOLUTIONS
MN
01
2202876
MEDICA
MN
01
2349336
AMERICA'S PPO/TPA
MN
01
381M8KL
BLUE CROSS BLUE SHIELD
MN
01
960561043682
PREFERREDONE
MN
01
P00232837
RR MEDICARE
MN
Enumeration date
02/26/2006
Last updated
07/08/2007
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