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NPI Code Detail

MEDICARE: CHRISTOPHER RYAN KLAUS M.D.

MEDICARE: CHRISTOPHER RYAN KLAUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD14713RI

General Provider Information

NPI Number : 1407141724
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER RYAN KLAUS M.D.
Provider Business Mailing Address
First Line : 1 RIVER ST
Second Line : THUNDERMIST OF SOUTH COUNTY
City : WAKEFIELD
State : RI
Zip : 02879-3214
Country : US
Telephone Number : 401-783-0523
Fax Number :
Provider Business Practice Location Address
First Line : 1 RIVER ST
Second Line : THUNDERMIST OF SOUTH COUNTY
City : WAKEFIELD
State : RI
Zip : 02879-3214
Country : US
Telephone Number : 401-783-0523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2011
Last Update Date : 07/18/2014

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