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NPI Code Detail

MEDICARE: DR. DAVID H KLEHM MD

MEDICARE:  DR. DAVID H KLEHM  MD
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 Physician20413WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619928454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID H KLEHM MD
Provider Business Mailing Address
First Line : 2400 W VILLARD AVE
Second Line : WHEATON FRANCISCAN GLENDALE FAMILY CARE CENTER
City : MILWAUKEE
State : WI
Zip : 53209-4901
Country : US
Telephone Number : 414-527-8191
Fax Number : 414-527-8046
Provider Business Practice Location Address
First Line : 2400 W VILLARD AVE
Second Line : WHEATON FRANCISCAN GLENDALE FAMILY CARE CENTER
City : MILWAUKEE
State : WI
Zip : 53209-4901
Country : US
Telephone Number : 414-527-8191
Fax Number : 414-527-8046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/12/2013

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