Individual
ANNA V KLEYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56890
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030851
—
WI
Enumeration date
04/05/2010
Last updated
10/09/2023
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