David A Kloss is a Surgery in Shawano, Wisconsin. David A Kloss practices all healthcare services and medical treatments related to Surgery. The NPI Number for David A Kloss is 1003842915. The last update date is 2019-06-05.
David A Kloss's current location address is 100 County Road B, Shawano, Wisconsin. You can contact this provider via phone number 7155242161 and fax number 7155248164. The mailing address for David A Kloss is 100 County Road B, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Kloss |
|---|---|
| Address | 100 County Road B, Shawano, Wisconsin |
| Phone Number | 7155242161 |
| Fax Number | 7155248164 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003842915 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2019-06-05 |
Provider Mailing Address Detail
| Address | 100 County Road B |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541667072 |
| Phone Number | 7155242161 |
| Fax Number | 7155248164 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 68403 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010033503CT01 | CT | ANTHEM BC / BS | |
| 1335034 | CT | -- | |
| 706347 | CT | AETNA / US HEALTHCARE | |
| 1335034 | CT | BLUE CARE FAMILY PLAN | |
| 335030 | CT | CONNECTICARE | |
| 1144213006 | CT | CIGNA | |
| WIS020 | CT | OXFORD | |
| 30515 | CT | HEALTHNET | |
| P02113 | CT | CHA |
Post Comment/ Review Below
What is the David A Kloss's 1003842915?
The David A Kloss's NPI (National Provider Identifier) Number is 1003842915. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David A Kloss is physically located?
The David A Kloss is situated at the following address: 100 County Road B, Shawano, WI 541667072.
What is the David A Kloss's specialty and taxonomy code?
The David A Kloss's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did David A Kloss receive its 1003842915 assignment?
The David A Kloss was assigned its 1003842915 on 2006-06-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to David A Kloss last refreshed?
The information related to the David A Kloss, including its address, specialty, and other relevant details, was last updated on 2019-06-05.