Organization
JOSEPH KLICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KLICK CRNA (OWNER)
(507) 377-9302
Entity
Organization
Contact information
Practice address
717 S STATE ST, FAIRMONT, MN 56031-4469
(507) 235-3939
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
MN
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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