Individual
DR. ALEXANDER KLAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1829 BRASSICA LN, INDIANAPOLIS, IN 46217-7095
(317) 698-6883
(317) 782-1069
Mailing address
1829 BRASSICA LN, INDIANAPOLIS, IN 46217-7095
(317) 698-6883
(317) 782-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038707
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100376420A
—
IN
Enumeration date
08/16/2005
Last updated
09/25/2016
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