Individual
MARTHA KLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30554
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832783100
—
MN
Enumeration date
07/08/2006
Last updated
11/23/2011
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