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NPI Code Detail

MEDICARE: DR. JILL M KLEMIN MD

MEDICARE: DR. JILL M KLEMIN 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 Physician12052ND

General Provider Information

NPI Number : 1740449040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL M KLEMIN MD
Provider Business Mailing Address
First Line : 2830 N WASHINGTON ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1482
Country : US
Telephone Number : 701-323-6400
Fax Number :
Provider Business Practice Location Address
First Line : 2830 N WASHINGTON ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-1482
Country : US
Telephone Number : 701-323-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2008
Last Update Date : 04/24/2018

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Directions to “ DR. JILL M KLEMIN MD” Practice Location

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