Individual
MR. KARL J KLOTZBUECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
(920) 802-1500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
569-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
76954-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43298700
—
WI
Enumeration date
08/23/2006
Last updated
11/28/2023
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