Individual
DR. MITCHELL ROBERT KLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
N15W28300 GOLF RD, PEWAUKEE, WI 53072
(262) 303-5055
(262) 303-5057
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5055
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
69496
WI
207X00000X
Orthopaedic Surgery Physician
MD461164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750657904
—
WI
Enumeration date
03/31/2012
Last updated
11/09/2019
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