Individual
DR. MARK THOMAS KLIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
1001 E BROADWAY ST, STE. #7, MISSOULA, MT 59802-4970
(406) 728-0095
(406) 728-0097
Mailing address
1001 E BROADWAY ST, STE. #7, MISSOULA, MT 59802-4970
(406) 728-0095
(406) 728-0097
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
090.005719
IL
174M00000X
Veterinarian
Primary
1297
MT
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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