| Frederick R Klepsch Md Pc | |
|
2050 N Main St Suite C Crown Point IN 46307-2035 | |
| (219) 661-0196 | |
| (219) 661-1593 |
| Full Name | Frederick R Klepsch Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 2050 N Main St, Crown Point, Indiana |
| Authorized Official Name and Position | Lorrie S Thiel (BILLING SPECIALIST) |
| Authorized Official Contact | 2196611592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick R Klepsch Md Pc 2050 N Main St Suite C Crown Point IN 46307-2035 Ph: (219) 661-0196 | Frederick R Klepsch Md Pc 2050 N Main St Suite C Crown Point IN 46307-2035 Ph: (219) 661-0196 |
| NPI Number | 1528300670 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528300670 | NPI | - | NPPES |
| 200008820 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01026277 (Indiana) | Primary |
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