Individual
KATELYN KLITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15051 GALAXIE AVE, APPLE VALLEY, MN 55124-6987
(866) 389-2727
Mailing address
15051 GALAXIE AVE, APPLE VALLEY, MN 55124-6987
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11824
MN
Other
Enumeration date
09/13/2015
Last updated
12/03/2018
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