Klenk, Susan L

Klenk, Susan L is an individual health care provider with primary practice located at 1901 Old Minnesota Ave Mankato Clinic @ Daniels Health Center, St Peter MN 56048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klenk, Susan L can be contacted via phone (507) 934-2325.

Contact Information

Primary practice address
1901 Old Minnesota Ave Mankato Clinic @ Daniels Health Center St Peter MN 56048
Phone: (507) 934-2325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 46021 Minnesota

Profile Details

NPI number 1205814217
LBN Legal business name Klenk, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205814217 NPPES
Minnesota Other 1965902 AMERICAS PPO
Minnesota Other 0114694 AMERICAS PPO
Minnesota Other 098K8KL AMERICAS PPO
Minnesota MEDICAID 711192400 AMERICAS PPO
Minnesota Other P00040739 AMERICAS PPO
Minnesota Other HP39271 AMERICAS PPO
Minnesota Other NA2951035036 AMERICAS PPO
Minnesota Other 171841 AMERICAS PPO
Minnesota Other 410849339 56001 C207 AMERICAS PPO

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