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NPI Code Detail

MEDICARE: DR. ADAM PHILLIP KLAPPERICH D.O.

MEDICARE: DR. ADAM PHILLIP KLAPPERICH D.O.
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
12084P0800XPsychiatry Physician51382MN

General Provider Information

NPI Number : 1912168642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM PHILLIP KLAPPERICH D.O.
Provider Business Mailing Address
First Line : 9400 ZANE AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1814
Country : US
Telephone Number : 952-737-4500
Fax Number : 763-315-4669
Provider Business Practice Location Address
First Line : 2001 BEAM AVE
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1401
Country : US
Telephone Number : 952-737-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 09/11/2020

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