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NPI Code Detail

MEDICARE: NEIL WALTER KLEMAN DO

MEDICARE: NEIL WALTER KLEMAN DO
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
1208600000XSurgery Physician76356-21WI
2208600000XSurgery Physician5101022650MI

General Provider Information

NPI Number : 1710338645
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL WALTER KLEMAN DO
Provider Business Mailing Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number :
Provider Business Practice Location Address
First Line : 1843 MICHIGAN ST
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1007
Country : US
Telephone Number : 920-746-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2016
Last Update Date : 12/09/2021

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