Individual
DR. JONATHAN KLAUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 N THIRD AVE STE 201, SANDPOINT, ID 83864
(208) 263-8597
Mailing address
606 N THIRD AVE STE 201, SANDPOINT, ID 83864-1689
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M14354
ID
Other
Enumeration date
06/06/2012
Last updated
10/02/2018
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