Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 45340-020 | WI |
N | 208600000X | Surgeon | 45340-020 | WI |
Y | 2086S0120X | Pediatric Surgery | 53928 | MN |
NPI | 1568559235 |
---|---|
Provider Name | Dr. Denise Barbara Klinkner |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 14/08/2020 |