Individual
GAD B KLETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 792-6630
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 792-6630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00033216
WA
2080P0205X
Pediatric Endocrinology Physician
Primary
MD00033216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8181166
—
WA
Enumeration date
10/12/2006
Last updated
06/09/2015
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