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NPI Code Detail

MEDICARE: DR. MARY KLEINSORGE D. C.

MEDICARE:  DR. MARY  KLEINSORGE  D. C.
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
1111N00000XChiropractor2656CO

General Provider Information

NPI Number : 1225249543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY KLEINSORGE D. C.
Provider Business Mailing Address
First Line : 885 1650 LN
Second Line :
City : DELTA
State : CO
Zip : 81416-8107
Country : US
Telephone Number : 970-874-4547
Fax Number : 970-236-9633
Provider Business Practice Location Address
First Line : 885 1650 LN
Second Line :
City : DELTA
State : CO
Zip : 81416-8107
Country : US
Telephone Number : 970-874-4547
Fax Number : 970-797-1246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 08/09/2018

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Directions to “ DR. MARY KLEINSORGE D. C.” Practice Location

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