Klenow, Cheryl Marie

Klenow, Cheryl Marie is an individual health care provider with primary practice located at 1835 West County Road C , Roseville MN 55113-1304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Klenow, Cheryl Marie can be contacted via phone (763) 785-4500.

Contact Information

Primary practice address
1835 West County Road C Roseville MN 55113-1304
Phone: (763) 785-4500
Fax: (763) 785-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 36591 Minnesota

Profile Details

NPI number 1487623435
LBN Legal business name Klenow, Cheryl Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 5th, 2015 - about 10 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 1487623435 NPPES
Minnesota MEDICAID 842974000

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