Klinker, Mary Therese

Klinker, Mary Therese is an individual health care provider with primary practice located at 811 2Nd St Se Suite A, Little Falls MN 56345-3559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Klinker, Mary Therese can be contacted via phone (320) 631-7000.

Contact Information

Primary practice address
811 2Nd St Se Suite A Little Falls MN 56345-3559
Phone: (320) 631-7000
Fax: (320) 632-0534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37413 Minnesota

Profile Details

NPI number 1104841295
LBN Legal business name Klinker, Mary Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Nov 7th, 2012 - about 14 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 1104841295 NPPES
Other 0101031 MEDICA
Other A015 MEDICA
Other NA9231013065 MEDICA
Other 102868C736 MEDICA
Other 21627 MEDICA
Other 5T131KL MEDICA
MEDICAID 981819700 MEDICA
Other HP264B2 MEDICA

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