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Individual

BRUCE A KLUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4210 SOUTHTOWN DR, EAU CLAIRE, WI 54701-2635
(715) 839-9266
Mailing address
4210 SOUTHTOWN DR, EAU CLAIRE, WI 54701-2635
(715) 839-9266

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1938-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36138500
WI
01
413T3KL
BXBS
MN
Enumeration date
01/30/2006
Last updated
04/09/2008
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